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<strong>KATINE</strong> <strong>COMMUNITY</strong> <strong>PARTNERSHIPS</strong> <strong>PROJECT</strong><br />

6 MONTHS PROGRESS REPORT (OCT 2007 TO MARCH 2008)<br />

Submitted to: The <strong>Guardian</strong> and Barclays<br />

Project Duration: Three Years. Oct 2007-Sep 2010<br />

Prepared by: Oscar Okech, Project Manager, AMREF Uganda<br />

Contact person in Uganda: Joshua Kyallo, Country Director, AMREF Uganda<br />

email: JoshuaK@amrefug.org<br />

Submitted by: Claudia Codsi, Uganda Partnerships Manager, AMREF UK<br />

email: c.<strong>co</strong>dsi@amref<strong>uk</strong>.org<br />

Photo: School boy in Katine<br />

KCPP six monthly narrative report - October 2007 to March 2008 1


TABLE OF CONTENTS<br />

ITEM Page<br />

Cover page 1<br />

List of acronyms 3<br />

Executive Summary 4<br />

1.0 BACKGROUND INFORMATION 8<br />

2.0 PROBLEM ANALYSIS 10<br />

3.0 <strong>PROJECT</strong> DESIGN 11<br />

3.1 Goal 11<br />

3.2 Specific Objectives 11<br />

3.3 Expected Out<strong>co</strong>mes 11<br />

3.4 Implementation Strategy 12<br />

3.5 Sustainability Plan/Phase Out Strategy 12<br />

4.0 PROGRESS OF ACTIVITIES 13<br />

4.1 Progress against planned activities 13<br />

4.1.1 Tabulated progress of activities against outputs and out<strong>co</strong>mes 13<br />

4.1.2 Overall performance 13<br />

4.2. Disparities in performance 20<br />

4.3 Unplanned activities that have <strong>co</strong>ntributed to the project 22<br />

4.4 Results obtained. Level of utilisation and out<strong>co</strong>mes against outputs 22<br />

4.4 Degree of integration of each <strong>co</strong>mponent with the others 22<br />

4.6 Case Studies 26<br />

5.0 <strong>PARTNERSHIPS</strong> AND COORDINATION WITH OTHER BODIES 30<br />

6.0 CONSTRAINTS, SOLUTIONS, LESSONS AND RECOMMENDATIONS 27<br />

7.0 PLANS FOR NEXT PERIOD<br />

7.1 FINANCE REPORT SUMMARY 33<br />

8.0 ANNEXES 35<br />

8.1 Work plan for the next six months 35<br />

8.2 Detailed tabulated progress by outputs, out<strong>co</strong>mes and <strong>co</strong>mments 35<br />

8.3 Project Governance Structure 35<br />

KCPP six monthly narrative report - October 2007 to March 2008 2


LIST OF ACRONYMS<br />

AIDS Acquired Immune-Deficiency Syndrome<br />

AMREF UK African Medical and Research Foundation<br />

CBAHW Community Based Animal Health Workers<br />

CBO Community Based Organisation<br />

CMDs Community Medicine Distributors<br />

DDP District Development Plan<br />

DEO District Education Officer/Office<br />

DIS District Inspector of Schools<br />

DTPC District Technical and Planning Committee<br />

FGD Focus Group Discussion<br />

GDP Gross Domestic Product<br />

HC Health Centre<br />

HIV Human Immune-deficiency Virus<br />

HUMC Health Unit Management Committee<br />

IDPs Internally Displaced Persons<br />

IEC Information, Education and Communication<br />

IGAs In<strong>co</strong>me Generating Activities<br />

ITNs Insecticide Treated Nets (for protection from mosquitoes)<br />

IMCI Integrated Management of Childhood Illnesses<br />

KCPP Katine Community Partnership Project<br />

NGO Non-Governmental Organisation<br />

PDP Parish Development Plan<br />

PHASE Personal Hygiene and Sanitation Education<br />

PTAs Parents Teachers Association<br />

RBA Rights Based Approach<br />

RING Rural Innovation Group<br />

SCDP Sub-<strong>co</strong>unty Development Plan<br />

SCTPC Sub-<strong>co</strong>unty Technical and Planning Committee<br />

SMCs School Management Committee<br />

TBAs Traditional Birth Attendants<br />

TOR Terms of Reference<br />

UBOS Uganda Bureau of Statistics<br />

UGX Uganda Shillings<br />

UWESO Uganda Women’s Efforts to Save Orphans<br />

VHTs Village Health Teams<br />

VSLA Village Savings and Loans Association<br />

WATSAN Water and Sanitation<br />

WHO World Health Organisation<br />

KCPP six monthly narrative report - October 2007 to March 2008 3


EXECUTIVE SUMMARY<br />

Katine in Soroti<br />

district<br />

The African Medical and Research Foundation (AMREF) in<br />

partnership with the <strong>Guardian</strong> News and Media and Barclays<br />

Bank, is delivering an integrated <strong>co</strong>mmunity based<br />

development project over three years in Katine sub-<strong>co</strong>unty<br />

within the district of Soroti. Here, residents live on just 50p a<br />

day. Katine is a sub-<strong>co</strong>unty with one of the worst health and<br />

living <strong>co</strong>nditions in Uganda (Uganda population Census,<br />

2002), where extreme poverty has been <strong>co</strong>mpounded by years<br />

of civil war and cattle rustling. 1 Issues of poverty and violence<br />

are exacerbated by the fact that Katine <strong>co</strong>mmunities are<br />

unable to access the services provided by local government.<br />

In response to the aforementioned obstacles, the Katine Community Partnerships Project<br />

(KCPP) focuses on improving the quality of living for the 25,000 people in Katine. At the same<br />

time, the project provides readers of the <strong>Guardian</strong> with the chance to see how civil society<br />

project interventions work to achieve long-term <strong>co</strong>mmunity development.<br />

With a budget of £2.6 million over 3 years, the KCPP addresses the key <strong>co</strong>nstraints to<br />

sustainable <strong>co</strong>mmunity development by taking an integrated and holistic approach. The<br />

specific objectives are:<br />

� Improved <strong>co</strong>mmunity health<br />

� Improved access to quality primary education<br />

� Improved access to safe water, sanitation and hygiene<br />

� Improved in<strong>co</strong>me-generating (also referred to as improving livelihoods)*<br />

� Communities empowered to engage in local governance<br />

*FARM-Africa is supporting AMREF to provide technical support for the livelihoods<br />

<strong>co</strong>mponent of the project.<br />

AMREF applies its wider strategic aims and best practices to its development approach in<br />

Katine. This is achieved through building the capacity of <strong>co</strong>mmunities, strengthening systems<br />

of service delivery and undertaking operational research to develop, share, scale up and<br />

advocate for best policy and practice changes. The approach also ensures that the project<br />

<strong>co</strong>mponents of health, water and sanitation, education, livelihoods and <strong>co</strong>mmunity<br />

empowerment work to re-enforce each other for integrated development.<br />

The KCPP is aligned to the overarching Poverty Eradication Action Plan (PEAP) - the<br />

Ugandan national framework for poverty eradication. This project <strong>co</strong>ntributes to Goals 2, 4<br />

1 Cattle Rustling - or cattle raiding - is the act of stealing livestock.<br />

KCPP six monthly narrative report - October 2007 to March 2008 4


and 5 of the PEAP; (Goal 2: Increasing production, <strong>co</strong>mpetitiveness and in<strong>co</strong>mes, Goal 4:<br />

Human rights and governance, Goal 5: Human development). Goal 5 focuses on the<br />

importance of a well-educated, healthy and productive population as a prerequisite for<br />

developmental progress. The ultimate goal of the Uganda PEAP is to <strong>co</strong>ntribute to the United<br />

Nations’ eight Millennium Development Goals (MDGs) 2 . The other goals of the PEAP include<br />

macro-e<strong>co</strong>nomic management and security, <strong>co</strong>nflict resolution and disaster management,<br />

which are outside of the remit of the KCPP. (DFID in Uganda<br />

http://www.dfid.gov.<strong>uk</strong>/<strong>co</strong>untries/africa/uganda.asp).<br />

The project targets children under five for health services, children in primary schools for<br />

education improvement and men and women for livelihood development and local political<br />

involvement.<br />

At AMREF UK, <strong>co</strong>ntracts with the project partners were drawn up, negotiated and signed with<br />

the <strong>Guardian</strong> and Barclays. A separate <strong>co</strong>ntract was signed with the sub-<strong>co</strong>ntracted partner of<br />

the project, FARM-Africa. A partnership manager was hired to <strong>co</strong>-ordinate and manage<br />

relationships in the UK and to support the team in Uganda. Much of the first six months of the<br />

KCPP have involved setting up the systems and processes to manage reader donations and<br />

to begin building relationships with these donors. AMREF UK established a partnership with<br />

DMP and then Valldata to manage the processing, banking and thanking of Katine reader<br />

donations and also set up the systems required to process online donations by adding the<br />

necessary functionality to the website. As part of AMREF UK’s responsibility to manage<br />

donor relationships AMREF sent the ‘Katine Newsletter’ to nearly 4,000 Katine donors who<br />

had asked to be kept informed of the project’s progress.<br />

In Uganda, the first three months focused on start-up phases and preparatory activities of the<br />

KCPP such as the implementation of key priorities that had been identified in <strong>co</strong>nsultation with<br />

<strong>co</strong>mmunities and key stakeholders. A detailed needs-assessment along with two baseline<br />

studies were <strong>co</strong>nducted as a means to ensure more accurate monitoring and evaluation of the<br />

out<strong>co</strong>mes and impacts of the KCPP. These included the <strong>co</strong>mmunity survey and the household<br />

baseline survey.<br />

The recruitment and induction of the now seventeen-member project implementation team<br />

took place at the start of the project. The team now includes a project manager, a project<br />

officer and a project assistant for all of the project areas bar the <strong>co</strong>mmunity empowerment<br />

<strong>co</strong>mponent; although at the start of the project the full team was not on the ground, lacking a<br />

full time project manager and <strong>co</strong>mmunications officer. Supporting positions for the project<br />

include monitoring and evaluation, <strong>co</strong>mmunications, administration, ac<strong>co</strong>unts and information<br />

technology. All of the key personnel for the project are managed by the project manager, with<br />

AMREF Kampala Office, AMREF Nairobi Head Office and FARM-Africa providing technical<br />

support and guidance. The team shared resources in the existing Soroti office while<br />

2 The eight Millennium Development Goals (MDGs) – which range from halving extreme poverty to halting the spread of HIV/AIDS<br />

and providing universal primary education, all by the target date of 2015 – form a blueprint agreed to by all the world’s <strong>co</strong>untries<br />

and all the world’s leading development institutions. They have galvanized unprecedented efforts to meet the needs of the world’s<br />

poorest. - http://www.un.org/millenniumgoals/<br />

KCPP six monthly narrative report - October 2007 to March 2008 5


procurement of necessary project equipment and office <strong>co</strong>nstruction took place. The team<br />

moved to the new office which will serve ultimately as the <strong>co</strong>mmunity resource centre in<br />

January of 2008. Project implementation gained full momentum within the se<strong>co</strong>nd quarter and<br />

after six months the KCPP project was operating at full strength.<br />

Within the first six months, progress on activities under the health <strong>co</strong>mponent included:<br />

� Training of 172 Village Health Team members (VHTs) from four out of the six parishes<br />

on home-based care of childhood diseases (104 were men and 68 were women)<br />

� Refresher training for nine health workers (five men and four women) in integrated<br />

management of childhood illnesses from the three health centres<br />

� A four day <strong>co</strong>urse training 23 members (five women and 18 men) of three health unit<br />

management <strong>co</strong>mmittees on roles and responsibilities and enhancing supervisory<br />

skills<br />

� Training of 19 traditional birth attendants on early re<strong>co</strong>gnition of high risk pregnancies<br />

and danger signs with a view to improve referrals to health centres<br />

� Distribution of mosquito nets to 1308 households with children under five, out of the<br />

target of 3250 for the year in an effort to prevent malaria in vulnerable groups<br />

(pregnant women and children under five years)<br />

� 66 bicycles procured and distributed to VHTs in the parish of Ochuloi. The phased<br />

distribution of bicycles to VHTs in other parishes will <strong>co</strong>ntinue upon <strong>co</strong>mpletion of each<br />

VHT training. Bicycles will promote mobility and outreach to remote parts of Katine.<br />

Under the education <strong>co</strong>mponent progress on activities included:<br />

� Training <strong>co</strong>nducted for teachers, School Management Committees (SMCs) and<br />

Parents and Teachers Associations (PTAs) for improved <strong>co</strong>mmunity management of<br />

school learning, teaching, processes and governance<br />

� Provision of school supplies such as textbooks and the <strong>co</strong>nstruction of classrooms in<br />

<strong>co</strong>mmunity schools, (five in Kadinya and seven in Amorikot primary schools) which<br />

started and are currently on-going. This will improve quality education, expand access<br />

so that more children enrol, and improve the environment to make it more <strong>co</strong>nducive<br />

to learning.<br />

Under the water and sanitation <strong>co</strong>mponent, progress on activities included:<br />

� Drilling of eight boreholes to increase access to clean and safe water benefiting 360<br />

households in villages of the following parishes: Ochuloi, Ojom, Olwelai, Merok, Abia<br />

and Katine.<br />

� Rehabilitation of five boreholes and <strong>co</strong>ncurrent water quality testing with functionality<br />

and utilisation of safe water sources increasing from 70% to 95%. These boreholes<br />

are located in villages of the following parishes: Katine, Ojom, Merok and Olwelai,<br />

benefiting 225 households and bringing clean and safe water closer to <strong>co</strong>mmunities,<br />

reducing the average 2-4 km walk before the project’s interventions 3 .<br />

3 Ac<strong>co</strong>rding to the Katine baseline survey<br />

KCPP six monthly narrative report - October 2007 to March 2008 6


� Water quality and water borne disease surveillance has been carried out in 21 sites.<br />

Safe water <strong>co</strong>verage has increased from 42% before the project’s interventions to<br />

56%<br />

� 240 sanitation kits were provided to the 6 parishes and 12 primary schools to promote<br />

hygiene and sanitation at home and at school<br />

� Establishment and training of 6 parish-level sanitation <strong>co</strong>mmittees (one in each of the<br />

6 parishes) and three hand pump mechanics on operation and maintenance of water<br />

sources. They will work as a <strong>co</strong>mmunity owned resource person who can monitor and<br />

maintain the water sources. This has increased access to safe water for 1500 people<br />

Progress on activities under the livelihoods <strong>co</strong>mponent included:<br />

� Formation and training of 18 farmer groups in 18 selected villages each <strong>co</strong>mprising of<br />

30 self selected members, with 50% women representation, with a goal of serving as<br />

Rural Innovation Groups, integrating improved farming with other in<strong>co</strong>me generating<br />

activities<br />

� A diagnostic survey was undertaken in <strong>co</strong>njunction with NARO-Serere Agricultural and<br />

Animal Production Research Institute based in Soroti to identify priority enterprises<br />

and key technology interventions<br />

� On-farm demonstrations sites were identified and clearance done with an increased<br />

uptake of improved farming technology<br />

� Two crops (Cassava and Groundnut) were chosen as entry point to demonstrate<br />

improved varieties, production and marketing approaches<br />

The <strong>co</strong>mmunity empowerment <strong>co</strong>mponent ensures there is a thread of integration that runs<br />

through all project activities. The key achievements under this <strong>co</strong>mponent included:<br />

� The strengthening of <strong>co</strong>mmunity structures (such as PTAs, SMCs, VHTs etc) for all<br />

<strong>co</strong>mponents of the project;<br />

� The establishment of IEC (Information, Education and Communication) working<br />

groups as a tool to support greater governance, steering <strong>co</strong>mmittees at various levels<br />

and re-ignited functionality of existing <strong>co</strong>mmittees in the sub-<strong>co</strong>unty; including<br />

membership of vulnerable people<br />

� The establishment of a Project Management Committee at the sub-<strong>co</strong>unty level and a<br />

Project Steering Committee 4 at the district level. Both <strong>co</strong>mmittees are <strong>co</strong>-chaired by<br />

local leadership and AMREF, to lead project implementation, management and<br />

tracking.<br />

The Project Management and Steering Committees ensure that the project applies a bottomup<br />

approach where reporting requirements and relationships are driven upwards from the<br />

<strong>co</strong>mmunity. The sub-<strong>co</strong>unty Project Management Committee meets on a monthly basis and<br />

directly works with the Project Implementation Team to oversee the operational<br />

implementation of the project. The Project Steering Committee meets on a quarterly basis and<br />

is responsible for providing technical guidance and support to the latter.<br />

4 Please refer to the project governance structure, section 8.3<br />

KCPP six monthly narrative report - October 2007 to March 2008 7


In order to ensure greater integration between the project <strong>co</strong>mponents, an effort has been<br />

made to foster significant <strong>co</strong>llaboration in delivering health related activities through VHTs. For<br />

example, the health, water and sanitation and <strong>co</strong>mmunity empowerment project <strong>co</strong>mponent<br />

used the same VHTs for the delivery of services, sharing information and joint training in order<br />

to achieve integrated activity execution. The education, water and sanitation (WATSAN) and<br />

health <strong>co</strong>mponents worked jointly with the school health <strong>co</strong>mmittees to promote hygiene and<br />

sanitation in schools. Community empowerment has worked in tandem with all other<br />

<strong>co</strong>mponents in developing IEC messages on health, education and water for the development<br />

of posters, brochures, t-shirts, inscriptions in <strong>co</strong>mpounds and leaflets through focus groups at<br />

village level and IEC working groups at sub-<strong>co</strong>unty and district level reflecting all <strong>co</strong>mponents.<br />

The project management and implementation structures from <strong>co</strong>mmunity to sub-<strong>co</strong>unty and<br />

district level also ensure effective integration takes place by reviewing progress on activities<br />

and out<strong>co</strong>mes.<br />

1.0 BACKGROUND INFORMATION<br />

1.1 Development Context in Uganda<br />

Uganda is one of the poorest <strong>co</strong>untries in the world, ranking 146 th out of 177 in the 2004<br />

Human Development Index. The population of Uganda is estimated at 28 million and life<br />

expectancy is only 49.3 years ac<strong>co</strong>rding to the World Health Organisation. A <strong>co</strong>ntributing<br />

factor to the low life expectancy in Uganda is the fact that 31% of the population currently live<br />

below the poverty line (UBOS 2007).<br />

In an effort to pull Uganda’s out of its poverty trap, the <strong>co</strong>untry has introduced a number of<br />

policy and institutional reforms which have seen the HIV/AIDS prevalence decline from 30% in<br />

the late 1980s to 6.1% in 2006. The Uganda AIDS Commission Report states that by 2002,<br />

new infections were 70,170 while new AIDS cases were 73,830 with 75,290 deaths per year.<br />

The high HIV prevalence is largely responsible for the loss of Uganda’s workforce,<br />

<strong>co</strong>ntributing to low e<strong>co</strong>nomic productivity. Other improvements include access to safe water<br />

increasing from 50% in 2000 to 63% in 2006, primary school enrolment increasing from 62.3%<br />

(1992) to 86% (2006), GDP per capita growing at an average of 3.6% since 1995 (PEAP<br />

2006) and poverty prevalence falling from 56% in 1992 to 31% in 2007 (UBOS). In education,<br />

enrolment has increased due to Universal Primary Education (UPE) which was launched in<br />

December 1996 by the president of Uganda - Yoweri Museveni - in ac<strong>co</strong>rdance with the<br />

Government White Paper on Education. In 2002, Museveni stated that the policy would<br />

ensure that ‘all children of school going age should benefit from UPE’ (Opulot, 2002).<br />

Enrolment figures after the launching of UPE shot up figures from 2.5 million in 2006 to 6.8<br />

million in 2000 (Ministry of Education and Sports 2001 b:1). Despite this progress, challenges<br />

still remain. There is inadequate participatory planning and poor human resource capacity<br />

within local government sectors. For instance, the doctor to population ratio in Uganda is<br />

1:18,000 (MOH) and in Katine sub-<strong>co</strong>unty, there are no doctors for a population of about<br />

25,000. There are also inadequate classrooms and teachers for the increased number of<br />

students enrolling in primary schools under Museveni’s initiative.<br />

KCPP six monthly narrative report - October 2007 to March 2008 8


1.2 Development <strong>co</strong>ntext in the district of Soroti District<br />

Map of Soroti<br />

district and Katine<br />

sub-<strong>co</strong>unty<br />

Soroti District is located in<br />

Eastern Uganda. It <strong>co</strong>nsists of<br />

three rural <strong>co</strong>unties (Kasilo,<br />

Serere and Soroti) and one<br />

municipality (Soroti Municipality).<br />

There are a total of 17 sub<strong>co</strong>unties,<br />

including three<br />

divisions of the<br />

municipality. Ac<strong>co</strong>rding to a 2002<br />

census, the total population of<br />

Soroti District is 371,986. Now<br />

peaceful, the district is<br />

<strong>co</strong>nsidered a post-<strong>co</strong>nflict area<br />

with recent periods of insurgency<br />

and cattle rustling which<br />

depleted the number of animals<br />

and other valuable property.<br />

Internally Displaced People (IDPs) have returned to their <strong>co</strong>mmunities and a resettlement plan<br />

is underway. The main e<strong>co</strong>nomic activity is subsistence farming (76% of households<br />

ac<strong>co</strong>rding to the UBOS 2002 Census Report), cattle rearing and petty trade. Poverty<br />

prevalence is at 77%, <strong>co</strong>mpared to the national average of 31%. (UBOS, Mapping the Poor,<br />

2004)<br />

Malaria is the leading disease burden in Soroti District, <strong>co</strong>ntributing to 96.72% of reported<br />

morbidity. Only 19.1% of the population lives within 5km of a health facility, far lower than the<br />

national average of 49%. HIV/AIDS remains a key challenge with prevalence from the two<br />

Voluntary Counselling and Testing (VCT) sites at 20.3%.(MOH).<br />

Education <strong>co</strong>nditions in Soroti district, like the rest of Uganda, are still far from realising the<br />

minimum standards set by the National Government. By 2005, Soroti district had a primary<br />

school enrollment of 130,585, with 65,196 boys and 65,389 girls. The total number of teachers<br />

was 2,198. The pupil to teacher ratio stood at 1:59 while the desired minimum standard is<br />

1:54. In addition, the pupil to classroom ratio is 1:83 where the minimum standard is 1:54.<br />

Soroti still needs approximately 200 trained teachers to meet the increasing number of<br />

children joining primary school every year.<br />

In 2005, Soroti district had 17,932 orphans <strong>co</strong>nstituting 14% of the total enrollment in primary<br />

schools. 9,058 of them were boys and 8,874 were girls. There were 4,253 disabled children<br />

enrolled by 2005, 2,239 of them were boys and 2,014 were girls. The high numbers of the<br />

children in these vulnerable categories pose a demand for <strong>co</strong>nscious targeting. 5<br />

5 (Source: Ministry of Education- Uganda, EMIS data 2005)<br />

www.education.go.ug/abstract%/202005/primary accessed on 08/05/08<br />

KCPP six monthly narrative report - October 2007 to March 2008 9


Ac<strong>co</strong>rding to the district re<strong>co</strong>rds, safe water <strong>co</strong>verage in Soroti district stands at 76%, which is<br />

in fact well over the national average of 65%. The functionality rate of the installed water<br />

facilities is at 89%. Results from the AMREF EU project survey done in 2007 indicate that<br />

latrine <strong>co</strong>verage is at 68%, also above the national average of 65%. Ac<strong>co</strong>rding to the District<br />

health inspectorate however, the biggest challenge is the lack of budget support to the<br />

Environmental Health Division for Sanitation Promotion, emphasising the need for a financial<br />

lobbying strategy.<br />

As much as the government has strengthened decentralisation in Uganda - with the sub<strong>co</strong>unty<br />

as the lowest unit of development planning and implementation - this has almost<br />

exclusively emphasised the supply side of governance. Citizens have remained passive to<br />

events and public decisions that affect them. The need for citizens to actively engage in public<br />

decision making on matters that affect them and demand for their rights is imperative.<br />

Ac<strong>co</strong>rding to district reports, there is low <strong>co</strong>mmunity participation in local government planning<br />

and implementation in Soroti. Therefore there is a pressing need to empower <strong>co</strong>mmunities to<br />

effectively engage in local governance issues across sectors. This is so important because<br />

only 68% of the population are literate, 48% of households own a radio and 49% of the<br />

population depend on word of mouth to get information (UBOS, 2002 Census report).<br />

1.3 Development Context in Katine sub-<strong>co</strong>unty<br />

Katine sub-<strong>co</strong>unty is part of Soroti district. It has one of the worst re<strong>co</strong>rds for poverty and<br />

underdevelopment among the 17 sub-<strong>co</strong>unties and 3 municipality divisions in the district. A<br />

<strong>co</strong>mparison of Katine indicators with that from the 2006 Uganda Demographic and Health<br />

Survey shows that overall baseline <strong>co</strong>nditions for the Katine population are worse than the<br />

average for rural areas of the <strong>co</strong>untry.<br />

In light of this, the KCPP strives to improve the quality of life of the estimated 25,000 people in<br />

Katine. The project’s integrated approach will simultaneously address various project<br />

<strong>co</strong>mponents of better health, access to education, access to safe water, increased in<strong>co</strong>mes<br />

and active citizen participation for decision making in local governance.<br />

2.0 PROBLEM ANALYSIS<br />

When AMREF addressed project priorities with the sub-<strong>co</strong>unty and district leaders, needs<br />

were identified in the areas of health, education, water and sanitation, livelihoods and<br />

<strong>co</strong>mmunity empowerment.<br />

A household survey was <strong>co</strong>nducted by AMREF in January 2008 to assess the needs further<br />

whereby the results of the survey demonstrated that the overall baseline in Katine sub-<strong>co</strong>unty<br />

were uniformly poor 6 . For example, Tiriri health centre IV has no medical doctor and has a<br />

well equipped but non-functional operation theatre. Access to safe water in Katine was at<br />

42% and latrine <strong>co</strong>verage was at 44%. In some parishes, like Olwelai, latrine <strong>co</strong>verage was as<br />

6 Katine household baseline executive summary, page 2. The baseline survey was <strong>co</strong>nducted by AMREF with support from<br />

Uganda Bureau of Statistics (UBOS)<br />

KCPP six monthly narrative report - October 2007 to March 2008 10


low as 24%. The school drop out rate was at 19% for boys and 22% for girls and the pupil to<br />

classroom ratio was at 91:1. Also, 16% of children aged 7-12 are orphans.<br />

Livelihoods, which depend mostly on agriculture, have been disrupted by 20 years of internal<br />

<strong>co</strong>nflicts and cattle rustling. There was a rebellion by the Uganda Patriotic Army in Teso<br />

region (where Soroti is based) from the late 1980s to the early 1990s <strong>co</strong>mbined with an<br />

incursion by the Lords Resistance Army from the Acholi region of Northern Uganda into Teso<br />

region from 2003 to 2006.<br />

Due to poverty, marginalisation and the dis<strong>co</strong>nnection between the formal governance system<br />

and the <strong>co</strong>mmunity, the population seldom participates actively in decision making processes<br />

in local government. The low indicators stated in the baseline survey suggested a <strong>co</strong>mmunity<br />

in critical need of empowerment with information, tools and basic inputs so that they <strong>co</strong>uld<br />

improve their own capacity for making a positive difference to their lives.<br />

3.0 <strong>PROJECT</strong> DESIGN<br />

3.1 Goal<br />

To improve the quality of life of the people of Katine<br />

3.2 Specific Objectives<br />

� Improved <strong>co</strong>mmunity health<br />

� Improved access to quality primary education<br />

� Improved access to safe water, sanitation and hygiene (WATSAN)<br />

� Improved in<strong>co</strong>me-generating<br />

� Communities empowered to engage in local governance<br />

3.3 Expected Out<strong>co</strong>mes<br />

Health<br />

� Increased <strong>co</strong>mmunity awareness, access to and utilisation of health services in<br />

<strong>co</strong>mmunity and health facilities<br />

Education<br />

� Improved access to quality primary education for all children and greater <strong>co</strong>mmunity<br />

involvement in school governance<br />

WATSAN<br />

KCPP six monthly narrative report - October 2007 to March 2008 11


� Increased <strong>co</strong>mmunity access to and utilisation of improved water and sanitation<br />

facilities<br />

� Improved hygiene practices in households<br />

� Improved operations and maintenance of water sources<br />

Livelihoods<br />

� Re<strong>co</strong>very of livelihoods through diversified and improved sources of in<strong>co</strong>me<br />

� Stronger ability of rural institutions to access both advisory services and markets for<br />

their products for increased production and in<strong>co</strong>me<br />

� Community demanding and achieving their rights and services<br />

Community Empowerment<br />

� Increased <strong>co</strong>mmunity capacity to plan and budget for <strong>co</strong>mmunity needs<br />

� Stronger <strong>co</strong>mmunity capacity for data gathering and utilisation<br />

3.4 Implementation Strategy<br />

AMREF uses three overarching strategies in all of its projects throughout Sub-Saharan Africa.<br />

Community Partnering: The project’s entry point into the <strong>co</strong>mmunity is through partnering with<br />

existing groups and <strong>co</strong>mmunity structures. The aim is to empower <strong>co</strong>mmunities to take full<br />

supervision of their development process and ensure sustainability beyond the life of the<br />

KCPP.<br />

Capacity-Building: This aims to develop the human resources and service delivery systems in<br />

both the <strong>co</strong>mmunities and local governments to manage development projects. The<br />

development of these local institutions and organisations enhances effectiveness,<br />

sustainability and local ownership.<br />

Operations Research and Advocacy: The project will monitor and evaluate progress,<br />

document lessons learnt and share them with others. Lessons learnt from this project will be<br />

used to inform and influence policies and practices in health and development sectors among<br />

governmental and non-governmental partners.<br />

3.5 Sustainability Plan & Phase-Out Strategy<br />

The KCPP builds on existing <strong>co</strong>mmunity based and local government structures. Some of<br />

these structures include village health teams, school management <strong>co</strong>mmittees, parent-teacher<br />

associations and water source <strong>co</strong>mmittees. In addition, KCPP also works with parish<br />

sanitation <strong>co</strong>mmittees, sub-<strong>co</strong>unty thematic groups, hygiene and sanitation working groups,<br />

sub-<strong>co</strong>unty water and sanitation steering <strong>co</strong>mmittees, health centre unit <strong>co</strong>mmittee, farmer’s<br />

forums and <strong>co</strong>mmunity animal health workers. The <strong>co</strong>mmunity structures have different roles<br />

KCPP six monthly narrative report - October 2007 to March 2008 12


and responsibilities but are inter-linked in their execution. For example, VHTs sensitise<br />

<strong>co</strong>mmunities and <strong>co</strong>llect sanitation and hygiene data while the parish sanitation <strong>co</strong>mmittees<br />

mobilise <strong>co</strong>mmunities to dig pit latrines and ensure a clean environment in their homes. The<br />

project empowers <strong>co</strong>mmunities to take ownership by strengthening their capacity and<br />

enhancing their performance. Some structures, like Village Savings and Loans Associations<br />

(VSLA) 7 , have a multiplier effect because more will be formed after the project has ended<br />

based on the success of what has already been achieved. AMREF’s planning is also shared<br />

with and in<strong>co</strong>rporated into the sub-<strong>co</strong>unty and district development plans and annual reports.<br />

If the KCPP can demonstrate successful initiatives, the strategy is to influence district and<br />

sub-<strong>co</strong>unty governments to in<strong>co</strong>rporate <strong>co</strong>ntinued project work into their budgetary plans.<br />

The KCPP works with parish development <strong>co</strong>mmittees, a sub-<strong>co</strong>unty project management<br />

<strong>co</strong>mmittee chaired by the sub-<strong>co</strong>unty chief and <strong>co</strong>-chaired by the AMREF Deputy Country<br />

Director. The project also <strong>co</strong>llaborated with a district steering <strong>co</strong>mmittee which is chaired by<br />

the Chief Administrative Officer who is the head of civil service at the district level. This role is<br />

relevant for effective partnership and sustainability as it is <strong>co</strong>-chaired by the AMREF Country<br />

Director. In addition, a national advisory <strong>co</strong>mmittee chaired by AMREF and other<br />

stakeholders, line ministries and a global partners <strong>co</strong>mmittee in the UK adds to the impact of<br />

the district steering <strong>co</strong>mmittee. These are the structures that have been put in place to<br />

manage the project and to ensure that decision making is a bottom-up and participatory<br />

process. Over the <strong>co</strong>urse of the KCPP, AMREF will work with project partners to develop exit,<br />

scale-up and sustainability strategies.<br />

4.0 PROGRESS OF ACTIVITIES<br />

4.1 Progress against Planned activities<br />

4.1.1 Tabulated table of progress of activities with outputs, out<strong>co</strong>mes and <strong>co</strong>mments for<br />

disparities (see annex 2)<br />

4.1.2 Description of overall performance<br />

Improved Community Health<br />

To improve the household health status, the Ministry of Health recently introduced a strategy<br />

of VHTs <strong>co</strong>mposed of <strong>co</strong>mmunity volunteers. Their role is to provide basic home-based care<br />

and mobilise <strong>co</strong>mmunities for health action. Unfortunately, the reality of this strategy is that<br />

VHTs are not yet fully functional. The KCPP has trained 172 VHT members from four of the<br />

six parishes in Katine sub-<strong>co</strong>unty (41 of the 66 villages in Katine sub-<strong>co</strong>unty) in home based<br />

care of childhood diseases. Of these, 104 (60%) were men and 68 (40%) were women. They<br />

were trained in strategies to prevent and <strong>co</strong>ntrol malaria, HIV/AIDS, tuberculosis, diarrhoea<br />

and sanitation practices. In so doing, the project expects to increase the number of referrals<br />

from the <strong>co</strong>mmunity to the health centres as well as to improve diagnostics at the household<br />

level. Additionally, the project has procured 130 bicycles for the VHTs. In the first six months,<br />

66 bicycles were distributed to VHTs which are used for transport, home visits, <strong>co</strong>llection of<br />

supplies from health centres and the submission of monthly health status reports to health<br />

7 The role of VSLAs and the integration with KCPP will be reported on in the next reporting period<br />

KCPP six monthly narrative report - October 2007 to March 2008 13


centres. Bicycles are also being used for transporting severely ill people from villages to<br />

health centres. The remaining bicycles will be given to the VHTs after their training is<br />

<strong>co</strong>mpleted. Some of the purchased bicycles needed repair due to brakes and lights not<br />

functioning properly and will be distributed once repaired.<br />

High risk groups for malaria infection and its <strong>co</strong>mplications include children below five years of<br />

age, pregnant women and people living with HIV/AIDS. The KCPP’s baseline survey revealed<br />

that mosquito net <strong>co</strong>verage was 48% in Katine. In an effort to reduce malaria, 3250 Insecticide<br />

Treated Nets (ITNs) were procured. Since the inception of the KCPP, 1308 ITNs have been<br />

distributed to 1308 households in Ochuloi, Merok, Katine and Ojama parishes. Each<br />

household was targeted for net distribution because it was home to at least one child under<br />

the age of five. Children tend to sleep together under one net so a single bed net may benefit<br />

more than one child. Distribution of nets to children under the age of five, pregnant women<br />

and people living with HIV/ AIDS will <strong>co</strong>ntinue into the next quarter of the project. Regular<br />

visits by VHTs to households ensure that those most vulnerable to malaria (the target groups)<br />

are using the nets regularly and <strong>co</strong>rrectly. The project works closely with the existing health<br />

system ensuring that information is shared. This is important because the KCPP wants to be<br />

certain future ITN distribution from other sources does not target the same individuals as this<br />

project. During net distribution, VHTs sensitised <strong>co</strong>mmunities to ensure that there was positive<br />

health behaviour change (aiming to ensure the target groups did sleep under an ITN).<br />

As a result of capacity gaps the delivery of quality services among health centre staff and<br />

inadequate facilities at the health centres, the project <strong>co</strong>nducted refresher training in outpatient<br />

care for nine staff members working in Katine HC II, Ojom HC II and Tiriri HC IV. It<br />

also <strong>co</strong>nducted a four-day residential training for the three Health Unit Management<br />

Committees of Tiriri HC IV, Katine HC II and Ojom HC II. The project found these <strong>co</strong>mmittees<br />

already in place. 23 members attended, of which five were women. All the <strong>co</strong>mmittees have at<br />

least one women member. They were trained in their roles and responsibilities, equipped with<br />

supervisory skills, quality assurance techniques and trained in planning for health services.<br />

Immunisation equipment and supplies such as children’s weighing scales, vaccine carriers,<br />

bicycles, chairs and tables were also provided to Ojom HC II and Katine HCII.<br />

To improve on the quality of maternal and neo-natal care services, a three-day refresher<br />

training <strong>co</strong>urse was held for 19 Traditional Birth Attendants (TBAs) already existing within the<br />

<strong>co</strong>mmunity (all the six parishes), all of whom were women. They were trained in early<br />

re<strong>co</strong>gnition of high risk pregnancies, pregnancy danger signs, HIV/AIDS, prevention of mother<br />

to child transmission of HIV/AIDS (PMTCT), immunisation, re<strong>co</strong>rd keeping and knowledge on<br />

how to <strong>co</strong>nduct safe and clean deliveries. Referral re<strong>co</strong>rds at the health centres show that<br />

several referrals have been made from the <strong>co</strong>mmunity by TBAs since their training.<br />

Improved access to quality education<br />

The household baseline survey revealed that 75% of primary school going age (6-12 years)<br />

children are currently attending school; lower than the 81% for all rural areas. Gender equity in<br />

the ratio of boys to girls enrolled has only been achieved in Merok parish while the widest<br />

gaps were in Katine/Ojama and Olwelai.<br />

KCPP six monthly narrative report - October 2007 to March 2008 14


KCPP <strong>co</strong>nducted a <strong>co</strong>mmunity survey which revealed that the learning environment at<br />

schools in Katine was poor. Statistics are indicated in the table below:<br />

Ministry of Education Standards (6)<br />

Learning<br />

Environment:<br />

School<br />

Performance and<br />

Needs<br />

Number of<br />

schools meeting<br />

national target<br />

What is needed<br />

for all 13 schools<br />

to meet the target<br />

Pupil to<br />

teacher ratio<br />

< 54:1<br />

Pupil to<br />

classroom<br />

ratio < 54:1<br />

Pupil to<br />

textbook<br />

ratio < 1:1<br />

Pupil to<br />

desk ratio <<br />

3:1<br />

6 2 0 0 0<br />

12 teachers 42<br />

classrooms<br />

2,000 books 1,411 desks 13<br />

Meet all<br />

four<br />

targets<br />

As part of the project intervention to improve the learning environment, the project has<br />

provided text books to Ojama and Oimai primary schools, including thematic charts and books<br />

for lower primary. The text books will increase access and participation of pupils in class. In<br />

addition, <strong>co</strong>nstruction of new classrooms in Amorikot and Kadinya primary schools is currently<br />

on-going. These were the KCPP’s first priority since they had wattle and grass classrooms<br />

and offices. In addition, these schools were created by the <strong>co</strong>mmunity and do not have any<br />

additional support from the local government.<br />

The KCPP has trained twelve teachers (11 men and one woman) and 120 parents (69 men<br />

and 51 women) in the development of materials that facilitate teaching and learning for six<br />

primary schools. The schools targeted are Katine, Katine-Tiriri, Adamasiko, Merok<br />

(government schools) Amorikot and Kadinya (<strong>co</strong>mmunity schools). Refresher training to<br />

strengthen linkages between schools and the <strong>co</strong>mmunities as well as to promote personal<br />

hygiene and sanitation education were <strong>co</strong>nducted for Ochuloi, Amorikot, Kadinya, and Olwelai<br />

Katine primary schools. 41 teachers attended these training sessions. Teachers were trained<br />

in thematic curriculum, children’s’ rights, the Presidential initiative on HIV/AIDS, strategies for<br />

<strong>co</strong>mmunicating to youth, child to child teaching methodologies, local materials, material<br />

development, personal hygiene and adolescent reproductive health. As a result, these schools<br />

have put up tippy taps 8 , re-activated health parades in school and increased observation for<br />

the general hygiene of pupils.<br />

Four primary schools had SMC and PTA structures but had limited knowledge on their<br />

respective roles and responsibilities in school management. SMCs are statutory <strong>co</strong>mmittees<br />

mandated by government policy on primary education to manage schools together with the<br />

school administration. In <strong>co</strong>ntrast, PTAs - responsible for school development programmes -<br />

are voluntary associations formed by parents and teachers. The SMC has 12 executive<br />

members while the PTA executive has nine. As a response, the KCPP has <strong>co</strong>nducted training<br />

for 12 SMCs and nine PTAs per school. The goal is to improve <strong>co</strong>mmunity management of<br />

8 Tippy Taps are locally made taps from small jerricans that are filled with water and tipped to wash hands<br />

KCPP six monthly narrative report - October 2007 to March 2008 15


school learning, teaching processes and governance for Obyarai, Merok, Ojago and Ajonyi<br />

primary schools.<br />

Two SMCs of Amorikot and Kadinya primary schools have been trained on monitoring school<br />

<strong>co</strong>nstruction. Currently these groups are in charge of monitoring and supervising<br />

the classroom <strong>co</strong>nstructions. They also participate in school meetings. These groups, who<br />

have taken ownership of school management, will increase <strong>co</strong>mmunity participation and<br />

involvement as well as ac<strong>co</strong>untability for these institutions. Quality education will ensure that<br />

children acquire skills in writing and reading. For this to be realised, children deserve a<br />

<strong>co</strong>nducive learning environment that includes proper classrooms, seating facilities, sanitation<br />

and hygiene facilities, proper learning materials and well trained teachers.<br />

In order to build the links between the project, schools and the district, <strong>co</strong>operation is vital.<br />

The District Inspector of Schools (DIS) along with the centre for <strong>co</strong>ordinating tutors of Katine<br />

sub-<strong>co</strong>unty worked closely with the Programme Officer (PO) for AMREF to provide support,<br />

supervision and follow up of teacher training in all thirteen schools in Katine. They also<br />

<strong>co</strong>nducted <strong>co</strong>nsultations with <strong>co</strong>mmunities, children, PTAs and SMCs to develop a <strong>co</strong>mmunity<br />

participatory monitoring tool (checklist) to monitor progress. Special attention was paid to<br />

school sanitation and hygiene, personal hygiene, school infrastructure and facilities, academic<br />

performance and administration in schools. This support team also <strong>co</strong>llected school data and<br />

developed a database for Katine schools to feed into the district data information management<br />

system. This data pipeline will enhance the tracking of educational trends in order to facilitate<br />

better planning and ensure effective and efficient service delivery.<br />

AMREF <strong>co</strong>nducted an advocacy forum with women teachers as role models for girls in four<br />

Katine schools. The advocacy forum was designed to improve the support and role modeling<br />

provided to girls in schools. During this exercise AMREF noticed inadequate representation of<br />

women teachers in Katine schools especially in the <strong>co</strong>mmunity schools, where only two<br />

schools among the targeted four had women teachers. Amorikot primary school, for example,<br />

did not have a single women teacher. The need to address this issue was raised and the<br />

District Education Officer (DEO) responded immediately by mobilising the parents to identify<br />

eligible women (untrained) to fill the positions. These teachers will be trained on how to<br />

promote education for girls in order to curb the number of girls who drop out of school. By<br />

reaching out to teachers and parents to resolve issues relating to girls dropping out of school,<br />

the project hopes to promote education, improve retention and drop out rates.<br />

Children’s events were <strong>co</strong>nducted to mark National Sanitation Week from 17 th to the 22 nd of<br />

March 2008. During these events, a series of activities to promote sanitation and proper<br />

hygiene were <strong>co</strong>nducted throughout Uganda. AMREF supported the various sanitation and<br />

hygiene activities that took place in Katine sub-<strong>co</strong>unty. The event, which was led by children<br />

who are promoted as carriers of these messages to their <strong>co</strong>mmunities, was characterised by<br />

music, dance, drama and demonstrations. These activities served to strengthen the links<br />

within institutional learning (schools and health centers) and provided <strong>co</strong>ntinuity in <strong>co</strong>mmunity<br />

approaches to sanitation and hygiene practices.<br />

Improved access to water, sanitation and hygiene<br />

KCPP six monthly narrative report - October 2007 to March 2008 16


The <strong>co</strong>mmunity survey revealed that no school met the standard of a latrine stance for pupils<br />

(calculated separately for men and women pupils). A stance, or stall, is a single room of a<br />

toilet. A toilet or latrine may have more than one stance.<br />

Three schools, with a total of almost 1,000 pupils had no latrine stances at all making them<br />

unsuitable for operation as they did not meet the minimum standard of a school. Two of these<br />

schools are <strong>co</strong>mmunity-owned.<br />

The table below is a summary of the water and sanitation needs in the thirteen schools in<br />

Katine by parish (as revealed by the <strong>co</strong>mmunity survey):<br />

Table 1: School water facilities needed in Katine sub-<strong>co</strong>unty<br />

Parish No. of schools in Latrine stances Hand washing Rain water harvesting<br />

parish<br />

needed<br />

facilities<br />

facilities needed<br />

Ojom 3 24 2 1<br />

Olwelai 3 14 4 1<br />

Merok 2 16 3 2<br />

Katine 2 22 1 0<br />

Ochuloi 2 26 3 1<br />

Ojama 1 10 1 0<br />

Total 13 112 14 5<br />

Interventions to address the requirements in the baseline survey will be done in the<br />

subsequent quarters of the KCPP.<br />

The project is addressing needs of latrine <strong>co</strong>verage and access to safe water for the pupils in<br />

schools and <strong>co</strong>mmunities. Thirteen panel toilets with a total of 52 stances in the primary<br />

schools of Ojago, Amorikot, Merok, Ojama, Oimai, Kadinya, Adamasiko, Ojom, and Olwelai<br />

are currently under <strong>co</strong>nstruction. Five 10,000 litre rain water tanks have been installed in the<br />

schools of Oimai and Merok in Merok parish, Ojago and Ajonyi in Ochuloi parish and<br />

Adamasiko in Ojom parish to improve access to safe water. Apart from Ojago, which is a<br />

<strong>co</strong>mmunity school, the other schools are government-run. The schools not directly targeted by<br />

the KCPP, such as Amorikot, also benefit from the project since they now have access to<br />

clean water through <strong>co</strong>mmunity boreholes drilled nearby. With these interventions, the pupils<br />

in the above schools will have access to hygienic pits latrines and safe water for drinking while<br />

at school which will reduce incidences of water-borne diseases. The interventions will also cut<br />

back on the time children are forced to take off from school in order to <strong>co</strong>llect water.<br />

The most <strong>co</strong>mmon source of drinking water for Katine residents at the start of the KCPP, as<br />

revealed by the household survey, was unprotected wells. These were the primary sources of<br />

drinking water in 29 villages. Unprotected wells are open wells which are prone to<br />

<strong>co</strong>ntamination by animal or human faecal matter. The se<strong>co</strong>nd most <strong>co</strong>mmonly used source<br />

was boreholes (primary source in 20 villages). Some villages, mostly in Merok parish,<br />

KCPP six monthly narrative report - October 2007 to March 2008 17


mentioned using the swamp as their se<strong>co</strong>nd water source. Nine villages had the greatest<br />

distance of 3-4 kilometres. This reality is not in line with the government re<strong>co</strong>mmended<br />

walking distance of 1.5 kilometres to travel to <strong>co</strong>llect water.<br />

As part of the project intervention, 5 boreholes have been rehabilitated in Katine and Ajobi<br />

villages in Katine parish, Adamasiko in Ojom parish, Merok in Merok parish and Olwelai in<br />

Olwelai parish benefiting 225 households. 8 new boreholes were drilled in Obyarai A and<br />

Omodoi in Ochuloi parish, Ominit and Matali in Ojom, Amorikot in Olwelai, Omulai in Katine<br />

parish, Abata in Merok parish, and Abia in Ojama parish (benefiting 360 households). District<br />

and sub-<strong>co</strong>unty <strong>co</strong>nsultative meetings were held where baseline data was shared and used to<br />

prioritise areas of need. Community <strong>co</strong>nsultative meetings and advocacy took place where<br />

decisions were made on the above sites for drilling the boreholes. This has increased safe<br />

water <strong>co</strong>verage from 42% to 56%. In addition, water quality and water-borne disease<br />

surveillance at 21 sites have been carried out. KCCP anticipates that this intervention will<br />

reduce water-borne diseases like diarrhoea and typhoid which are <strong>co</strong>mmon in the Katine<br />

<strong>co</strong>mmunity.<br />

The household baseline survey revealed that half of the surveyed households did not have a<br />

latrine and instead used the bush or plastic bags which they disposed of in bushes near their<br />

home. Seven out of ten households in Olwelai and six out of ten in Ochuloi did not have a<br />

latrine. Of the households that did have a toilet facility, 42% had a pit latrine without a slab and<br />

6% had a pit latrine with a slab. Latrine <strong>co</strong>verage was highest in Katine/Ojama (68%), followed<br />

then by Merok (58%). In response to these findings, the project has provided 240 sanitation<br />

kits to all 6 parishes in Katine sub-<strong>co</strong>unty and primary schools. These kits included wheel<br />

barrows, pick axes, machetes, axes, hoes and spades for latrine excavation. A follow-up of<br />

60 households that received a sanitation kit revealed that 33 had <strong>co</strong>mpleted latrine digging<br />

and had handed over these kits to the next villages.<br />

The <strong>co</strong>mmunity survey also revealed that 3 villages unanimously reported they had a trained<br />

water user <strong>co</strong>mmittee and one village (Obiol) had hand pump mechanics. The KCPP was able<br />

to facilitate three sub-<strong>co</strong>unty health <strong>co</strong>mmittee meetings for the months of January, February<br />

and March to discuss progress of water and sanitation <strong>co</strong>mponent activities. The project also<br />

established and trained 6 parish sanitation <strong>co</strong>mmittees - one from each of the six parishes.<br />

The KCPP established and trained three hand pump mechanics on operation and<br />

maintenance of water sources to <strong>co</strong>ver the six parishes and equipped them with protective<br />

wear, tool kits and bicycles for transportation.<br />

Monitoring of water usage informs us that, due to this intervention, the functionality of water<br />

sources has increased from 70% to 95%. The result of this increase is an improvement in<br />

<strong>co</strong>mmunity access to safe water for 1,500 people in Katine sub-<strong>co</strong>unty.<br />

Improved In<strong>co</strong>me Generation<br />

Farming groups have been formed in 18 selected villages from six of the parishes. Each of<br />

these groups has 30 self-selected members and includes both men and women with a guiding<br />

criterion of 50% gender representation. The selection criteria require <strong>co</strong>mmunity members to<br />

be actively engaged in farming and have a desire to improve production and marketing. The<br />

KCPP six monthly narrative report - October 2007 to March 2008 18


aim is to serve as Rural Innovation Groups (RINGs), integrating improved agricultural<br />

production and marketing with other in<strong>co</strong>me generating activities. These groups also function<br />

as VSLAs, integrating the financial inclusion model into their farming and other in<strong>co</strong>me<br />

generating activities. The groups have undergone training ranging from wealth ranking to<br />

identification of technology gaps. The training was in response to the findings of the<br />

<strong>co</strong>mmunity <strong>co</strong>nsultative meetings and baseline survey which indicated that most of the groups<br />

were not functioning optimally due to inadequate capacity building. Capacity building initiatives<br />

require group leadership, financial management, group dynamics, group visioning, re<strong>co</strong>rd<br />

keeping, participatory monitoring and evaluation in order to be successful. There was also a<br />

need for experience-sharing programmes to enable Katine residents to better manage their<br />

group affairs and access markets for their agricultural products. KCPP endeavours to provide<br />

more training sessions to help these groups realise the possibility for improved sustainable<br />

livelihoods.<br />

At the start of the project, two villages had a marketing association. Marketing associations<br />

provide <strong>co</strong>mmunity members with easy access to credit services for improved production and<br />

marketing of their products to customer bases. In response to this, the project has also started<br />

linking the Katine farmers to the wider markets outside of Soroti to maximise opportunities for<br />

inclusion into national market chains and so achieve greater profit margins for agriculture.<br />

Additionally exposure to national markets will support future developments in processing<br />

produce locally for added value, for example cassava flour.<br />

Ac<strong>co</strong>rding to the AMREF Community Survey Report, the majority of <strong>co</strong>mmunity members rely<br />

on agriculture as their main source of in<strong>co</strong>me. In addition, farmers have been engaged in the<br />

art crafts, brewing, casual labour, char<strong>co</strong>al sale, fishing, petty trade, mining and livestock<br />

trade. Training for skills development in some selected in<strong>co</strong>me generating activities in<br />

additional to increase in<strong>co</strong>me from agriculture will give the farmers an opportunity to have<br />

multiple sources of in<strong>co</strong>me, attaining improved and sustainable livelihoods.<br />

A diagnostic study, done in <strong>co</strong>njunction with NARO-Serere Agricultural and Animal Production<br />

Research Institute, identified the main food security and in<strong>co</strong>me generating crops as cassava<br />

and groundnuts. The KCPP is focusing solely on improving the productivity and marketability<br />

of these crops for the first 18 months of the project. A participatory review will then be<br />

<strong>co</strong>nducted to support farmers in adopting other enterprises that have market potential.<br />

Communities Empowered to Engage in Local Governance<br />

� Existing decentralised government structures such as district health teams, district<br />

water and sanitation <strong>co</strong>ordination <strong>co</strong>mmittees, sub-<strong>co</strong>unty technical planning<br />

<strong>co</strong>mmittees, sub-<strong>co</strong>unty health <strong>co</strong>mmittees, village health teams, health unit<br />

management <strong>co</strong>mmittees, school management <strong>co</strong>mmittees and parents teachers<br />

associations are targeted by the KCPP. The aim is to ensure effective project<br />

implementation and sustainability through these groups.<br />

� Other structures such as Information Education Communication (IEC) working groups,<br />

sanitation working groups, hygiene working groups, operation and maintenance<br />

working groups and farmers’ groups have been formed by the project. These groups<br />

KCPP six monthly narrative report - October 2007 to March 2008 19


were designed to reinforce existing structures above them, especially at<br />

implementation level.<br />

� Project governance structures, including the Project Management Committee (at sub<strong>co</strong>unty<br />

level) and the Project Steering Committee (at district level) were formed to<br />

manage and support project implementation and sustainability. This will be achieved<br />

through closer links and between the <strong>co</strong>mmunity groups and local government<br />

structures in responding to developmental priorities.<br />

� IEC is one of the main KCPP strategies for creating awareness about <strong>co</strong>mmunity<br />

rights to basic services like health, education and water. They reinforce sensitisation<br />

and education of <strong>co</strong>mmunities during <strong>co</strong>mmunity meetings, trainings and outreaches.<br />

Development of IEC awareness messages for radio programmes, posters and leaflets<br />

were carried out in order to increase the <strong>co</strong>mmunity’s knowledge of health, education,<br />

water and sanitation. Other key IEC messages were developed together with sub<strong>co</strong>unty<br />

and district local government partners. Although the VHTs also play a key role<br />

in bringing key health messages to the <strong>co</strong>mmunity.<br />

� A district stake-holder’s meeting was <strong>co</strong>nducted to update local government and NGO<br />

partners about the project. During this meeting, a working relationship with the<br />

partners was discussed and agreed upon. The stakeholders’ meeting was held on<br />

April 3 rd , 2008 at Soroti Hotel and was attended by a total of 66 participants (15<br />

women and 51 men). The attendants included district partners, sub-<strong>co</strong>unty<br />

representatives, district political representatives, NGOs, representatives from AMREF<br />

UK, AMREF Headquarters, AMREF Country Office and KCCP project staff. During the<br />

meeting, some of issues raised included AMREF’s <strong>co</strong>ntinued support of the Traditional<br />

Birth Attendants (TBAs) despite government policy to phase them out. Another issue<br />

was the absence of se<strong>co</strong>ndary school interventions in the KCPP when Katine has only<br />

one that needed assistance. There was also <strong>co</strong>ncern surrounding a lack of indicators<br />

for the <strong>co</strong>mmunity empowerment <strong>co</strong>mponent. Also, some members wanted<br />

clarification on the criteria for selecting borehole drill sites. For livelihood activities,<br />

members were <strong>co</strong>ncerned as to why the project chose cassava and groundnuts as<br />

priority crops when these are locally available in Katine. In addition, members<br />

identified a gap in the baseline survey since it lacked information on HIV/AIDS for<br />

youth and children. Another issue raised was the delay in launching the project as well<br />

as the short (3-year) project lifespan.<br />

� The above issues which were clarified by the project implementation team will be kept<br />

in mind and where possible addressed during the <strong>co</strong>urse of project implementation. In<br />

addition, a stakeholder inventory was developed and is being used for <strong>co</strong>ordination<br />

and mobilisation to strengthen networking.<br />

4.2 Disparities in performance, why and how they will be addressed<br />

Improved <strong>co</strong>mmunity health<br />

The VHT structure was set up more than three years ago but has not yet proven to be stable<br />

and effective. There are challenges associated with the members selected by the <strong>co</strong>mmunity<br />

because some of them cannot read and write in their local languages. The VHTs will therefore<br />

be allocated roles ac<strong>co</strong>rding to their level of <strong>co</strong>mpetency by the district health teams. For<br />

instance, those who cannot read or write are allocated mobilisation roles such as <strong>co</strong>nducting<br />

KCPP six monthly narrative report - October 2007 to March 2008 20


home visits, sensitising household members on good sanitation practices, en<strong>co</strong>uraging<br />

mothers to immunise their children and promoting antenatal care.<br />

AMREF found that most of the TBAs are illiterate and are unable to read hand-outs. As a<br />

result, relevant IEC materials need to be developed for them and there needs to be greater<br />

supervision of their activities.<br />

Improved Access to Quality Education<br />

Construction is still in the early stages of casting the slab for seven classrooms, one office and<br />

a store room in Amorikot primary school. The same holds for the five classrooms, one office<br />

and store room in Kadinya primary school. Completion of <strong>co</strong>nstruction is expected within the<br />

next six months.<br />

Procurement and fabrication of desks has been finalised. However, the plans to furnish the<br />

new classrooms await <strong>co</strong>mpletion of <strong>co</strong>nstruction. Training on child-centered teaching<br />

methodologies, personal hygiene and sanitation education was not fully <strong>co</strong>nducted due to a<br />

lack of time as teachers were caught up in school activities. This will be done in the next three<br />

months as the holiday period starts where we hope to work alongside teachers.<br />

Improved access to safe water, sanitation and hygiene<br />

None of the five planned ECOSAN toilets were <strong>co</strong>nstructed due to time spent in the<br />

procurement and delivery of both local and manufactured materials for <strong>co</strong>nstruction work.<br />

Construction will be <strong>co</strong>mpleted within the next six months. In the same way, AMREF had<br />

aimed to finish <strong>co</strong>nstruction on 13 panel toilets; <strong>co</strong>nstruction <strong>co</strong>mmenced and all 13 will be<br />

<strong>co</strong>mpleted within the next three months.<br />

The 40 sanitation platforms that the KCPP planned to build were not provided to support<br />

household <strong>co</strong>verage for latrine <strong>co</strong>nstruction. This delay is attributable to the need for more<br />

time in allowing pits to sink. This will be done in the next six months.<br />

Springs were not protected nor rehabilitated within the first six months. Identification of sites is<br />

on-going - three have been planned. This is attributed to time spent in identifying perennial<br />

springs in the sub-<strong>co</strong>unty. There are a number of seasonal springs; however, those that are<br />

perennial and re<strong>co</strong>mmended for protection require studying and monitoring throughout the dry<br />

seasons. Those that sustain high flow yields in the dry seasons will then be identified and<br />

re<strong>co</strong>mmended for protection. This will be done in the next six months.<br />

AMREF had planned to <strong>co</strong>nstruct four shallow wells. Construction is on-going and will<br />

<strong>co</strong>ntinue into the next two quarters.<br />

Improved In<strong>co</strong>me Generation<br />

Farmer-led participatory market research (PMR) was divided into two stages. First, market<br />

visits by the livelihood staff took place, followed by farmer visits to the identified market to<br />

KCPP six monthly narrative report - October 2007 to March 2008 21


document market information for planning. The first stage has been <strong>co</strong>mpleted while the<br />

se<strong>co</strong>nd stage will be undertaken in the next six months.<br />

Training on group capacity building did not take place as the groups were still in the formation<br />

process. This will be done in the next six months. Delays in the implementation of activities<br />

partly were partly attributable to one of the livelihood assistants leaving. There were also<br />

inefficiencies in the original management strategies and relationship between FARM-Africa<br />

and AMREF which are now being addressed and so that substantial catch-up and win-win<br />

activities will occur in the next 6 months.<br />

Communities Empowered to Engage in Local Governance<br />

Village level focus group discussions on pre-testing the applicability of IECs did not take<br />

place. This was due to a delay in holding district stakeholders update meeting but is replanned<br />

in the next reporting period.<br />

Procurement of IEC materials were delayed due to IEC messages not being <strong>co</strong>mpleted. This<br />

activity has been re-planned for next reporting period.<br />

AMREF staff training on Rights Based Approach (RBA) did not take place due to lack of<br />

availability of a trainer. This has been re-planned for the next reporting period.<br />

4.3 Unplanned Out<strong>co</strong>mes in the Reporting Period<br />

� The <strong>co</strong>nstruction of the Soroti-Lira road by government using a Chinese <strong>co</strong>mpany has<br />

provided local labour employment, boosting the local e<strong>co</strong>nomy. It has also raised<br />

hopes for development in the sub-<strong>co</strong>unty. The price of land for farming and plots for<br />

building has also increased by 100% due to the added value of the road. An acre of<br />

farmland used to be worth £31 but has now doubled to £63 ac<strong>co</strong>rding to local<br />

landowners. The trading centre is 34 kilometres away and the sub-<strong>co</strong>unty is spread<br />

along the stretch of this road, which is also a highway to the heart of Northern Uganda.<br />

Heavy trucks use this road for e<strong>co</strong>nomic transportation. However, with their transport<br />

<strong>co</strong>mes an increased risk of spreading HIV/AIDS along the highway since truckers base<br />

themselves in towns along their routes. (Uganda AIDS Commission)<br />

� The government’s ongoing extension of piped water from Soroti to Kaberamaido<br />

district (pipeline passes through Katine) is raising hopes of boosting sanitation,<br />

hygiene and the functionality of service facilities and production in <strong>co</strong>ttage industries.<br />

Hence, there is a rapid increase in private sector investment in buildings.<br />

4.4 Results obtained. (Level of performance by utilisation, out<strong>co</strong>mes and impact as a<br />

result of outputs)<br />

4.4.1 Improved Community Health<br />

� There have been increases in the number of children accessing immunisation services<br />

within Katine as well as a reduction in ill-health and death from the eight killer<br />

childhood diseases through health centre reports. This ac<strong>co</strong>mplishment is the result of<br />

KCPP six monthly narrative report - October 2007 to March 2008 22


meetings with health staff to address the gaps in immunisation. The procurement of<br />

four children’s weighing scales, two vaccine carriers, four bicycles, four chairs and four<br />

tables has also <strong>co</strong>ntributed to supporting these services.<br />

� Currently, the VHT members are <strong>co</strong>nducting <strong>co</strong>mmunity sensitisation sessions on<br />

health promotion messages in the <strong>co</strong>mmunities. These messages include better care<br />

and urgent referral of children on home based care of fever and diarrhoea. The KCPP<br />

keeps track of this progress by using their up-to-date database on ITN usage and<br />

target populations <strong>co</strong>nducted by the 172 KCPP-trained VHTs.<br />

� There is also improved reporting of deliveries by TBAs at health facilities, more active<br />

participation of TBAs in health promotion activities such as child health days and<br />

reduction in delayed referral by the TBAs as a result of training of nineteen TBAs out of<br />

twenty-six known to exist.<br />

� There have been improvements in management of staff with associated reduction in<br />

<strong>co</strong>nflicts between staff and members of the management team and better quality of<br />

meeting minutes as a result of training of twenty-three Health Unit Management<br />

Committees in the three health units.<br />

� The KCPP has also seen an improvement in reporting at the health facilities by the<br />

Community Medicine Distributors due to sixty-six bicycles given out to VHTs for their<br />

work.<br />

� There is increased <strong>co</strong>verage in mosquito net use and reduction in the number of<br />

malaria episodes among children below five years of age due to distribution of 1,308<br />

ITNs to 1308 households. This increased household ITN <strong>co</strong>verage by 27% 9 .<br />

Community sensitisation on ITN use has also been <strong>co</strong>nducted. Based on the project<br />

baseline survey report, it is expected that if properly and <strong>co</strong>nsistently used, the number<br />

of malaria cases in children under five years of age will reduce. The project is in the<br />

process of tracking the number of malaria cases reported at the health facilities in<br />

order to establish the impact of the ITN distribution in the <strong>co</strong>mmunity.<br />

4.4.2 Improved Access to Quality Primary Education<br />

� More teaching and learning materials are available in the schools as a result of the<br />

training of 120 parents and 12 teachers on local teaching materials development. This<br />

is expected to improve teaching and performance by pupils.<br />

� Improved school sanitation reflected in presence of hand washing facilities, wellmaintained<br />

latrines and school <strong>co</strong>mpounds due to training of 41 teachers in Personal<br />

Hygiene and Sanitation Education.<br />

� Enhanced participation of children and parents in hygiene activities and promotion of<br />

good sanitation as a result of 15 schools, 130 parents and 150 children and teachers<br />

participating in the national sanitation week using music, dance and drama to enhance<br />

personal hygiene and sanitation messages.<br />

� Anticipated retention of girls is expected especially in upper primary as a result of<br />

<strong>co</strong>nducting advocacy forums in four schools for women teachers to be<strong>co</strong>me role<br />

models for girls ac<strong>co</strong>rding to the baseline survey and tracking school enrolment<br />

re<strong>co</strong>rds.<br />

� Improved school governance and management through understanding roles and<br />

responsibilities of the different governance bodies and increased parent and<br />

9 Project’s Monitoring & Evaluation reports<br />

KCPP six monthly narrative report - October 2007 to March 2008 23


<strong>co</strong>mmunity involvement in the development of the schools due to training of 27 PTAs<br />

and 48 SMCs.<br />

� Narrowed the textbook pupil ratio gap from 1:10 to 1:4 thus improved learning and<br />

teaching.<br />

� Increased participatory monitoring by <strong>co</strong>mmunities and other stakeholders due to<br />

establishment of <strong>co</strong>mmittees to oversee school <strong>co</strong>nstruction in Amotikot and Kadinya.<br />

� Expected improvement in the learning environment (better hygiene, more space) and<br />

reducing the pupil ratio from 1:91 to 1:54 upon <strong>co</strong>mpletion of <strong>co</strong>nstruction of 12<br />

classrooms.<br />

� Coding and registration of examination centers of Amorikot and Kadinya schools will<br />

be done because they now qualify by virtue of infrastructure in place.<br />

� Improved sanitation <strong>co</strong>nditions in the schools and reduction in incidence of<br />

<strong>co</strong>mmunicable disease infestation such as diarrhoea and reduction in pathogens in<br />

the local environment.<br />

� Anticipated increase enrolment of children, especially girls, due to the <strong>co</strong>nstruction of<br />

toilet and washroom facilities in the above schools.<br />

� Strengthened school management, classroom teaching and school data management,<br />

reflected in active PTAs, SMCs due to vigilant support supervision.<br />

4.4.3 Improved Access to Safe Water, Hygiene and Sanitation<br />

� Functionality and utilisation of clean water sources increased from 70% to 95% due to<br />

rehabilitation of five existing boreholes<br />

� Improved school sanitation as 27 pit latrines have been sunk and <strong>co</strong>nstruction ongoing<br />

due to provision of sanitation kits to schools.<br />

� Promotion of household hygiene and sanitation practices as a result of distribution of<br />

sanitation kits to <strong>co</strong>mmunities<br />

� By-laws on water and sanitation have been proposed by sub-<strong>co</strong>unty health <strong>co</strong>mmittee<br />

and enacted by the sub-<strong>co</strong>unty <strong>co</strong>uncil. An example is the <strong>co</strong>mpulsory presence of pit<br />

latrines in all the house-holds of Katine.<br />

� Improved data <strong>co</strong>llection and submission due to training of 6 parish sanitation<br />

<strong>co</strong>mmittees and one hundred and thirty two Village Health Teams.<br />

� The project <strong>co</strong>ntributed to the increased functionally of water sources due to the<br />

establishment and training of 12 water source <strong>co</strong>mmittees.<br />

� All repairs on water sources <strong>co</strong>mpleted by the three trained hand pump mechanics<br />

and the water sources are now all in use.<br />

� Hygiene and environmental improvement messages have been targeted based on the<br />

water quality reports from the 21 surveillances done.<br />

� Integrated the project water and sanitation plans into the district water sector plans<br />

due to participation in the district water and sanitation <strong>co</strong>ordination <strong>co</strong>mmittee<br />

meeting.<br />

� Improved <strong>co</strong>ordination with other partners due to best practice sharing meetings.<br />

4.4.5 Communities empowered to engage in local governance<br />

� Increased awareness on rights and development due to IEC messages for all<br />

<strong>co</strong>mponents.<br />

KCPP six monthly narrative report - October 2007 to March 2008 24


� Improved <strong>co</strong>ordination due to formation of project management <strong>co</strong>mmittees at sub<strong>co</strong>unty<br />

and district levels.<br />

� Improved governance, mobilisation and <strong>co</strong>mmunity participation in local decision<br />

making due to strengthening of existing governance structures, creation of new ones<br />

at <strong>co</strong>mmunity and local government level.<br />

� Increased integration of the various project <strong>co</strong>mponents due to working in a<br />

<strong>co</strong>ordinated manner.<br />

4.5 Degree of integration of each <strong>co</strong>mponent with other <strong>co</strong>mponents<br />

4.5.1 Improved <strong>co</strong>mmunity health<br />

� Identified and shared roles of VHTs among health, WATSAN, <strong>co</strong>mmunity<br />

empowerment <strong>co</strong>mponents.<br />

� Trained VHTs in <strong>co</strong>llaboration with WATSAN <strong>co</strong>mponent on sanitation and hygiene<br />

promotion.<br />

� Trained teachers on personal hygiene along side the education <strong>co</strong>mponent.<br />

� Worked with <strong>co</strong>mmunity empowerment <strong>co</strong>mponent to develop IEC messages for use<br />

by VHTs for promoting health education.<br />

� Worked with education and WATSAN <strong>co</strong>mponents to form school health <strong>co</strong>mmittees.<br />

4.5.2 Improved access to quality primary education<br />

� Training in Personal Hygiene and Sanitation Education linked and strengthened the<br />

WATSAN activities from the <strong>co</strong>mmunity and schools so that there is <strong>co</strong>nsistency in<br />

knowledge, attitude and practices in schools and in the <strong>co</strong>mmunity<br />

� Promoting adolescent reproductive health in schools and linking up with the services<br />

being strengthened by the health <strong>co</strong>mponent.<br />

4.5.3 Improved access to safe water sanitation and hygiene<br />

� In<strong>co</strong>rporated the WATSAN hygiene and sanitation promotion in the training of VHTs.<br />

Also to include use of the VHTs in <strong>co</strong>llection of data related to hygiene, sanitation and<br />

water supply in their villages.<br />

� Sanitation promotion in schools in <strong>co</strong>llaboration with the education <strong>co</strong>mponent. 27 pit<br />

latrines dug in schools as a result of provision of sanitary kits.<br />

� In <strong>co</strong>njunction with health and education, using the school health <strong>co</strong>mmittees in<br />

planning and implementation of school health and sanitation activities.<br />

� Pre-tested the IEC materials in <strong>co</strong>njunction with <strong>co</strong>mmunity empowerment <strong>co</strong>mponent.<br />

4.5.4 Improved in<strong>co</strong>me generation<br />

� Worked with the <strong>co</strong>mmunity empowerment <strong>co</strong>mponent during the establishment of<br />

livelihoods groups at village level that will be feeding into higher level structures at the<br />

sub-<strong>co</strong>unty and district. E.g. The sub-<strong>co</strong>unty livelihoods forum.<br />

KCPP six monthly narrative report - October 2007 to March 2008 25


4.5.5 Communities empowered to engage in local governance<br />

� Established a <strong>co</strong>mmunity structures inventory that reflects different local structures that<br />

are used by different <strong>co</strong>mponents. Some structures such as Village Health Teams and<br />

sub-<strong>co</strong>unty technical planning <strong>co</strong>mmittee are shared among health, water and<br />

education. This is expected to result into effective <strong>co</strong>ordination and networking among<br />

various <strong>co</strong>mmunity groups and hence ensuring sustainability of the project.<br />

� Developed key messages on health, education and water through focus groups at<br />

village level and IEC working groups at sub-<strong>co</strong>unty and district level reflecting all<br />

<strong>co</strong>mponents.<br />

4.6 Case studies<br />

Drilling of Omulai borehole: A life time dream <strong>co</strong>me true for Akwango Lucy<br />

Born in 1960, Akwango Lucy was married and lived in Omulai<br />

Village, Katine Parish in Katine sub-<strong>co</strong>unty for 30 years.<br />

For the last 29 years she has been <strong>co</strong>llecting water for<br />

drinking, <strong>co</strong>oking, bathing and all domestic chores from<br />

Omulai swamp which had an open well, about two kilometres<br />

from her home.<br />

Lucy says “…that whenever it rained flood water would fill the<br />

open well in the swamp.” Because of this, in 2000 the district<br />

local government <strong>co</strong>nstructed a shallow well in the area, but<br />

insects (worms) are seen regularly <strong>co</strong>ming out of the well.<br />

Many users <strong>co</strong>mplained about worms which led to frequent<br />

diarrhoea and stomach pain and diseases like bilharzias<br />

whose presence in both children and adults was revealed<br />

through medical examination.<br />

Lucy cites one woman, a mother of seven children whom she said “developed a swollen<br />

stomach in 2007 as a result of worms. She was examined and is required to get treatment in<br />

Soroti town but for one year now she has failed to get funds for medical treatment.”<br />

Lucy says, “Cases of this nature are <strong>co</strong>mmon in the village given the long history of drinking<br />

dirty water.”<br />

Ac<strong>co</strong>rding to Lucy, in 1990 an old man died in the village. His death was caused by drinking<br />

unclean water.<br />

“In 2004 a child named Eboku died as a result of drinking insects from the shallow well,” Lucy<br />

says.<br />

KCPP six monthly narrative report - October 2007 to March 2008 26


Lucy is a mother of nine children raised under these <strong>co</strong>nditions. Her se<strong>co</strong>nd born Opio<br />

Richard is 27 years old Together with other village members Opio Richard became the voice<br />

of the <strong>co</strong>mmunity. They initiated a request when they learnt about AMREF support to Katine<br />

<strong>co</strong>mmunity last year in October. As a result Omulai borehole was drilled on 24 th January 2008.<br />

To Lucy: “This borehole looks like a dream. I never expected that there would be such an<br />

opportunity like this one during my life time.<br />

“Now there is improvement in the lives of <strong>co</strong>mmunity members. Cases of stomach pain are no<br />

more.”<br />

She adds, “Distance from home to water source is now short and as a result less time spent<br />

<strong>co</strong>llecting water and more time spent on e<strong>co</strong>nomic activities like gardening.”<br />

Besides, Lucy says, “Cases of irregular schooling are no more for children since water source<br />

is now near and majority of children are not sick of water related diseases any more.”<br />

Ac<strong>co</strong>rding to local <strong>co</strong>uncil one chairperson of the village Mr. Etemu John Stephen, about 500<br />

<strong>co</strong>mmunity members <strong>co</strong>llect water from this borehole with more women benefiting in terms of<br />

numbers than men.<br />

“This has made <strong>co</strong>mmunity members to save money formally used for treatment of water<br />

related diseases. Apart from malaria, sicknesses that used to be <strong>co</strong>mmon like diarrhoea are<br />

no more,” he says.<br />

After <strong>co</strong>nstruction of the borehole, water source <strong>co</strong>mmittee members were trained and tasked<br />

with responsibility of managing the water source. It <strong>co</strong>mprises nine members four of whom are<br />

women.<br />

Lucy thanked Barclays and the <strong>Guardian</strong> for accepting to fund this project and AMREF for<br />

implementing it in Katine.<br />

4.5.2 Education case study<br />

Engendering education - Ameo Grace of Amorikot Community School Education<br />

Grace Ameo is one of the two women teachers of Amorikot <strong>co</strong>mmunity school. She was<br />

posted as a teacher to the school on 27 th February 2008 and the first women teacher to join<br />

the staff of the <strong>co</strong>mmunity school as a result of AMREF lobbying the DEO. She is not married<br />

but has 3 dependants that she takes care of, John, Jane and Emma. John and Jane are both<br />

in Senior 1 (about 15 years old in Katine) and Emma is in primary 5 (about 13 years old in<br />

Katine) Grace says that her joining the school filled the gap of senior woman teacher. This is a<br />

position that is critical for girls especially in primary schools in Uganda. A senior woman<br />

teacher in a school is responsible for providing guidance and <strong>co</strong>unseling sessions for girls at<br />

the same time educating girls on their growth and development. Adolescence for primary<br />

school girls is a critical period and yet the ‘aunties’ who used to provide this education to girls<br />

in the <strong>co</strong>mmunity are no longer doing it. Mothers feel embarrassed to talk to their girl children<br />

about sexuality. When they have children in school they hope that the senior lady will play<br />

KCPP six monthly narrative report - October 2007 to March 2008 27


these roles. Difficulty in <strong>co</strong>pying with adolescent reproductive growth changes have<br />

<strong>co</strong>nstituted one of the major reasons to prolonged absenteeism which eventually leads to drop<br />

out of girls before they <strong>co</strong>mplete the primary education cycle. Grace automatically became the<br />

senior woman teacher since there was no other women teacher to handle the girl-child issues<br />

at school. Asked how she has improved the situation of the girls at her school, Grace<br />

responds:<br />

‘I have tried to advise them on how to deal with their menstrual cycles. Due to my <strong>co</strong>nstant<br />

advice on personal hygiene and sanitation, HIV/Aids, early pregnancies and peer<br />

pressure, most of them have tried to change and therefore willing to <strong>co</strong>mplete the primary<br />

cycle’<br />

Grace is grateful for having attended one of the workshops organized by AMREF in<br />

partnership with the district education department on adolescent reproductive health<br />

<strong>co</strong>unseling. This is because she has been able to acquire more skills to support girls in her<br />

school. She is happy with the current <strong>co</strong>nstruction of new classrooms, latrines and bathrooms,<br />

she is <strong>co</strong>nvinced that this will improve the sanitation <strong>co</strong>nditions in the school and enable girls<br />

to have a decent place to change and bathe whenever the need arises. She plans to train her<br />

pupils on making sanitary pads from local materials so that they can have enough to take<br />

them through their menstrual cycles and still have some emergency ones kept at school. She<br />

acknowledges that the presence of the new borehole just 50 metres away from the school will<br />

enable the girls to access clean water easily for bathing.<br />

Grace believes that through the other interventions of classroom <strong>co</strong>nstruction, teacher training<br />

and training of the school governance bodies, the school will be<strong>co</strong>me attractive to the pupils<br />

because they will be able to benefit from being in school, hence education be<strong>co</strong>ming<br />

meaningful and relevant to them.<br />

Right: Grace in front of the new block under <strong>co</strong>nstruction<br />

Left: Grace in front of the old <strong>co</strong>mmunity school<br />

Amorikot<br />

KCPP six monthly narrative report - October 2007 to March 2008 28


5.0 PARTNERSHIP AND COORDINATION WITH OTHER BODIES<br />

The project <strong>co</strong>ntinued to work alongside parish, sub-<strong>co</strong>unty and district <strong>co</strong>unterparts in the<br />

departments of health, water and sanitation, livelihoods, education and <strong>co</strong>mmunity<br />

empowerment, as well as Non Governmental Organisations (NGOs) and Community Based<br />

Organisations (CBOs) in all its activities. These include:<br />

i) Existing <strong>co</strong>mmunity networks<br />

ii) Government structures<br />

iii) NGOs and CBOs who share the same vision and objectives such as<br />

Transcultural Social Organisation (TPO) and Uganda Women’s Efforts to Save Orphans<br />

(UWESO).<br />

5.1 Improved <strong>co</strong>mmunity health<br />

� Shared work plans with district health team.<br />

� Invited district officials to facilitate, open or close workshops.<br />

� Involved the ‘in-charge’ of the health sub-district and village leaders in verification and<br />

selection of VHTs.<br />

5.2 Improved access to quality primary education<br />

� Shared work plans with the district education department and at sub-<strong>co</strong>unty level with<br />

the Centre Coordinating Tutor and the Secretary for education.<br />

� Worked closely with Inspector of Schools in charge of Katine in all activities.<br />

� Worked with the Primary Teachers College on teacher training.<br />

� Worked with PTAs and SMCs to involve parents in planning and development of<br />

schools, e.g. feeding programme for children.<br />

5.3 Improved access to safe water, sanitation and hygiene<br />

� Participated in the district water and sanitation <strong>co</strong>ordination meeting that brings<br />

together various stakeholders.<br />

� Participated in the best practice sharing meeting on safe water provision organised by<br />

AFRICARE in which domestic water treatment methods used by AFRICARE in their<br />

project area of Gweri sub-<strong>co</strong>unty (in Soroti district) were shared. The meeting<br />

questioned whether this is sustainable since it involves the use of manufactured<br />

reagents ‘PURE’ and this requires financial input from the <strong>co</strong>mmunities daily.<br />

� Participated in national sanitation week celebration during which sensitisation of<br />

<strong>co</strong>mmunities was carried out both at parish and village levels and emphasis laid on the<br />

following; acceptable pit latrines with privacy, presence of anal cleansing materials and<br />

safe hand washing facilities after latrine use, observance of personal, domestic and<br />

food hygiene.<br />

5.4 Improved in<strong>co</strong>me generation<br />

KCPP six monthly narrative report - October 2007 to March 2008 29


� Shared work plans with the district and sub-<strong>co</strong>unty technical team.<br />

� Conducted a diagnostic livelihoods survey with NARO-Serere.<br />

� Planned jointly with NARO-Serere to establish field demonstration farms<br />

� Planned jointly with UWESO/CARE on the financial inclusion model (VSLA<br />

methodology.)<br />

� Worked with the sub-<strong>co</strong>unty extension staff and <strong>co</strong>mmunity leaders in implementation<br />

of field activities.<br />

5.5 Communities empowered to engage in local governance<br />

� Stakeholders meetings held, one for the district and one for the sub-<strong>co</strong>unty, to update<br />

the partners about KCPP.<br />

� Participated in health sector working group at district level.<br />

� Involvement of the district and sub-<strong>co</strong>unty partners in sharing of work plans,<br />

developing of Terms of Reference and training guides.<br />

� Mobilisation of parish chiefs and other structures for all project <strong>co</strong>mponents to<br />

participate in KCPP activities.<br />

� Formed district IEC working group and held meetings to develop IEC messages.<br />

6.0 CONSTRAINTS, SOLUTIONS, LESSONS LEARNT AND RECOMMENDATIONS<br />

6.1 Improved <strong>co</strong>mmunity health<br />

6.1.1 Constraints<br />

� The ability to read or write in the local language is among the criterion that is supposed<br />

to be followed by <strong>co</strong>mmunities when they are selecting VHT members. This is so<br />

because VHTs are expected to have several different re<strong>co</strong>rds kept, reviewed and<br />

submitted to their supervisors. However, a small but significant section of the current<br />

VHT members cannot legibly write in either English or their local language. These<br />

individuals have been in the rather dormant VHT structure and it is not easy to<br />

disqualify them as their <strong>co</strong>mmunity entrusted them with such work. Furthermore, they<br />

have <strong>co</strong>ntinued to show interest and <strong>co</strong>mmitment to <strong>co</strong>ntinue with such voluntary work.<br />

� The supply of anti-malarial medicines and Oral Rehydration Salt for the home based<br />

management of fever and diarrhoea at the health facilities is irregular.<br />

6.1.2 Solutions<br />

� Performance of Community Medicine Distributors will be monitored and evaluated<br />

based on the decline in the number of severe cases of malaria seen at the health<br />

facilities, and number of malaria cases treated by VHTs within 24 hours of the onset of<br />

fever.<br />

� The project should attempt to lobby the district to improve supplies of anti-malarials.<br />

� Communities should be sensitised on roles for which they elect their representatives.<br />

6.1.3 Lessons learnt<br />

KCPP six monthly narrative report - October 2007 to March 2008 30


6.1.4 Re<strong>co</strong>mmendations<br />

� VHTs need to be strengthened for long-term sustainability of the project.<br />

6.2. Improved access to quality primary education<br />

6.2.1 Constraints<br />

� Taking away teachers for training during schooling periods is <strong>co</strong>unter productive. Yet<br />

during holidays some teachers are out of station, studying or visiting their families in<br />

other parts of Uganda.<br />

� Delays in receiving requests from schools.<br />

6.2.2 Solutions<br />

� Combine residential training of related topics for teachers to maximize time available<br />

� Request submission of school requests annually and not quarterly<br />

6.2.3 Lessons Learnt<br />

� Integrate the education activities with the school calendar such that activities are done<br />

jointly and in a <strong>co</strong>mplimentary manner. This will maximise the use of scarce resources<br />

and increase participation.<br />

6.2.4 Re<strong>co</strong>mmendation<br />

� Conduct school-based training for teachers during term-time.<br />

6.3 Improved access to safe water sanitation and hygiene<br />

6.3.1 Constraints<br />

� There are negative attitudes by the <strong>co</strong>mmunity towards new <strong>co</strong>ncepts like e<strong>co</strong>logical<br />

sanitation driven by cultural <strong>co</strong>nsiderations. For example, that it is taboo to screen and<br />

use human faecal matter for agriculture.<br />

6.3.2 Solutions<br />

� To enhance acceptance of the new technology, the ECOSAN activity is being<br />

implemented with a <strong>co</strong>mmunity based approach where the local masons have been<br />

identified and trained in the respective sites to be able to <strong>co</strong>nstruct the ECOSAN<br />

facilities. Advocacy meetings have also been <strong>co</strong>nducted in the respective schools in<br />

which the ECOSAN <strong>co</strong>ncept has been demystified to the <strong>co</strong>mmunity leaders and the<br />

school health <strong>co</strong>mmittees.<br />

6.3.3 Lessons learnt<br />

� Continuous sensitisation of <strong>co</strong>mmunities can strengthen their capacity to prevent<br />

disease at <strong>co</strong>mmunity level and improve their standards of living. For example, a follow<br />

up of 60 households of <strong>co</strong>mmunity leaders during the sanitation week revealed that 33<br />

households sunk pit latrines within one week. This achievement, once sustained, can<br />

promote safe excreta disposal and together with other factors mitigate the high<br />

incidences of diseases in <strong>co</strong>mmunities brought about by poor sanitation practices.<br />

KCPP six monthly narrative report - October 2007 to March 2008 31


6.3.4 Re<strong>co</strong>mmendations<br />

Attitude and behaviour change is a process and needs to be emphasised for sustainable<br />

interventions.<br />

6.4 Improved in<strong>co</strong>me generation<br />

6.4.1 Constraints<br />

� High <strong>co</strong>mmunity expectations e.g. everybody wants to belong to a group<br />

� Season-dependant activities e.g. trials/demonstrations are affected by seasons and<br />

dictated by weather.<br />

� Core staff resigning shortly after recruitment, inefficient and unclear management<br />

structures between AMREF and FARM-Africa<br />

6.4.2 Solutions<br />

� Other <strong>co</strong>mmunity members to be accessed through farmer to farmer approaches<br />

� Undertake group capacity building programmes and group-based work <strong>co</strong>ncurrently<br />

� Timely planning with relevant partners<br />

� Streamlined management structures in place to optimise shared resources and<br />

capacities within and between AMREF and FARM-Africa.<br />

6.4.3 Lessons Learnt<br />

� The <strong>co</strong>mmunity has fully embraced project ideas and has shown willingness to actively<br />

participate in their own development. An example is where in each of the 9 villages<br />

suggested to participate in on farm trials /demonstrations the <strong>co</strong>mmunity willingly<br />

offered a piece of land as their bit of <strong>co</strong>ntribution. In addition, farmers in the villages of<br />

Odwogai, Ojemorun, Adamasiko (all in Ojom Parish), Ojwiny (in Merok Parish) have<br />

gone ahead to prepare the gardens.<br />

� Community’s <strong>co</strong>nviction that through improved farming and organised produce<br />

marketing, their lives can improve. This was revealed during the diagnostic survey of<br />

technology and enterprise priorities. The <strong>co</strong>nviction is based on the fact that more than<br />

90% of the Katine <strong>co</strong>mmunity view farming as their key source of household in<strong>co</strong>me.<br />

6.4.4 Re<strong>co</strong>mmendations<br />

� Livelihoods should be strengthened and its implementation done faster to catch up<br />

with other <strong>co</strong>mponents as its key to the integration, success and sustainability of the<br />

project.<br />

� Strengthen operations and <strong>co</strong>ordination with FARM-Africa, CARE and UWESO.<br />

6.5 Communities empowered to engage in local governance<br />

6.5.1 Lessons learnt<br />

KCPP six monthly narrative report - October 2007 to March 2008 32


� In an integrated project, delay or failure to implement one major activity can greatly<br />

affect implementation of other activities tagged to it. For example, there was a delay<br />

in holding the district stakeholders meeting <strong>co</strong>nsequently affecting the other district<br />

level activities.<br />

� If implementation of <strong>co</strong>mponent activities takes place at the same pace, more<br />

benefits of integration can be realised. For example, the <strong>co</strong>nstruction and use of<br />

ECOSAN toilets will produce manure for use in livelihood led <strong>co</strong>mmunity<br />

demonstration gardens and school gardens. This will improve crop productivity and<br />

boost school feeding programmes hence improve nutrition and health.<br />

6.5.2 Re<strong>co</strong>mmendations<br />

� More emphasis needs to be put on integration of <strong>co</strong>mponents<br />

� Strengthen the in<strong>co</strong>rporation of Rights Based Approach to Development into all<br />

<strong>co</strong>mponents of the project. Development in the rights based perspective is about<br />

empowering <strong>co</strong>mmunities to demand for and protect their rights, making the duty<br />

bearers ac<strong>co</strong>untable to the <strong>co</strong>mmunity. This is important for ensuring sustainability of<br />

the project. It also puts responsibility on citizens to be active actors in their<br />

development and not passive recipients of development aid or charity.<br />

7.0 PLANS FOR THE NEXT PERIOD (see annexes)<br />

7.1 FINANCE REPORT SUMMARY (to be read in <strong>co</strong>njunction with the finance report)<br />

Six months into the project AMREF has spent 33% of the total year 1 budget. The lower<br />

expenditure is partly due to the fact that the first three months were focused on projects start –<br />

up activities and a partial team on the ground, with the Communications Officer and a full time<br />

Project Manager starting after project start-up. Now that the project start-up is <strong>co</strong>mpleted,<br />

project spending is expected to increase as activities pick up speed.<br />

Below is a breakdown of each of the budget lines with an explanation on expenditure to date,<br />

outlining any reasons for under/over spends against the budget.<br />

<strong>PROJECT</strong> ACTIVITIES (1.0-9.0)<br />

� Core team salaries: spending is in line with the budget <strong>co</strong>nsidering the project start up<br />

period. There was an over-spend on drivers se<strong>co</strong>nded to support external visits and an<br />

under-spend on staff roles who started after the project was launched.<br />

� Project activities: the delay in project activities, resulting from a partial team in Katine,<br />

are under spent at the midyear point, but expected to increase in lined with our project<br />

plan, and as activities are now fully underway.<br />

� Health activities, much of the expenditure was focused on training <strong>co</strong>urses for the<br />

TBAs, VHTs, health workers and health unit management <strong>co</strong>mmittees. Some of the<br />

hardware <strong>co</strong>mponents include the purchase of bicycles, purchase of drug storage kits<br />

for the medicine distribution and the purchase of 3250 ITNs which is reflected in this<br />

budget line.<br />

KCPP six monthly narrative report - October 2007 to March 2008 33


� Education activities: <strong>co</strong>sts up until March <strong>co</strong>sts were focused on procuring school<br />

supplies, running training and capacity building sessions with teachers, PTA and<br />

SMCs. Much of the spending on <strong>co</strong>nstruction materials for classrooms, desks and<br />

seating will be visible in the next finance report.<br />

� WATSAN: 43% of the budget spent, in line with the budget as as much of the funds<br />

were spent on procuring and installing hardware. This included drilling and<br />

rehabilitation of boreholes, purchase of sanitation kits, payment for borehole<br />

<strong>co</strong>ntractors and training sessions of the hand pump mechanics.<br />

� Livelihoods, 22% of the budget has been spent; this funding for activities including like<br />

the formation and training of farmer groups, the <strong>co</strong>upling of farming with other in<strong>co</strong>me<br />

generating activities, the implementation of a diagnostic survey and on-farm<br />

demonstrations sites being carried out.<br />

� Community empowerment Just 3.59% of the budget has been spent on training<br />

sessions, development of IEC working groups, strengthening of <strong>co</strong>mmunity structures,<br />

and establishment of working groups. There have been some delays in activities as<br />

outlined in Section 4.2. Much of the <strong>co</strong>sts will be expended in the next reporting period,<br />

including the <strong>co</strong>sts of IEC materials being produced. This budget line also related to<br />

the <strong>co</strong>mmunity resource centre which will be accessed by and belong to the<br />

<strong>co</strong>mmunity once the project ends. The <strong>co</strong>sts for <strong>co</strong>nstruction were posted in May, and<br />

will appear in next report. Relationships with <strong>co</strong>mmunities set up, <strong>co</strong>mmunities<br />

structures in place, and expenditure expected to pick up.<br />

� Project operational <strong>co</strong>sts spend is at 69%, higher than expected at the mid point. This<br />

is high because of significant increases in fuel <strong>co</strong>sts for Katine cars; as a result of the<br />

increased <strong>co</strong>sts in fuel incurred by the Kenya crisis in December and January and<br />

partly due to the many external project visits to the site.<br />

� Project capital <strong>co</strong>sts: 86% is a fair report on spending 6 months into the project, as<br />

much of the capital <strong>co</strong>sts happen at the start of a project. Overspends include satellite<br />

internet installation in January when the office move took place, double the expected<br />

<strong>co</strong>sts. This is a necessary expense given the media focus on this project and need for<br />

information and <strong>co</strong>mmunications from the field. Security tagging for equipment was<br />

more expensive than anticipated. On office administration, much of the <strong>co</strong>sts such as<br />

equipment maintenance and office supplies will be reflected in the next 6 month report.<br />

� Project Management Costs: Spending is as expected and in line with the budget, it<br />

includes <strong>co</strong>unty office staff time and that of a <strong>co</strong>nsultant’s to provide AMREF with the<br />

project management tools and guidelines from the project’s inauguration.<br />

� Monitoring & Evaluation: Such <strong>co</strong>sts are as anticipated, including the baseline survey<br />

and a <strong>co</strong>nsultant to analyse the data and <strong>co</strong>mpile a report.<br />

� UK Project Management: These <strong>co</strong>sts are in line with spending at 33.12% with an<br />

overspend in legal fees due to an extended <strong>co</strong>ntract negotiation period. Much of the<br />

KCPP six monthly narrative report - October 2007 to March 2008 34


first six months of the Katine project have involved setting up the systems and<br />

processes to manage, bank and thank Katine reader donations. It also includes the set<br />

up the systems required to process online donations by adding the necessary<br />

functionality to AMREF UK’s website. AMREF UK also sent the ‘Katine Newsletter’ to<br />

nearly 4,000 Katine donors who had asked to be kept informed of the project’s<br />

progress. These <strong>co</strong>sts are reflected in the budget line.<br />

� Contingency and agency support <strong>co</strong>sts: <strong>co</strong>ntingency was not used, and agency<br />

support <strong>co</strong>sts are as expected.<br />

8.0 ANNEXES (attached as separate files)<br />

8.1 Work plan for the next six months (see attached)<br />

8.2 Detailed tabulated activity progress by outputs, out<strong>co</strong>mes and <strong>co</strong>mments (see attached)<br />

8.3 <strong>PROJECT</strong> GOVERNANCE STRUCTURES AND ROLES IN UGANDA AND IN UK<br />

The project governance structure is managed at four levels: the sub-<strong>co</strong>unty/project, the<br />

district, the national and the global. It is <strong>co</strong>mmunity-driven from the bottom-up.<br />

<strong>PROJECT</strong> MANAGEMENT COMMITTEE (SUB-COUNTY LEVEL)<br />

Role: Involvement and <strong>co</strong>ncern over the operational and day-to-day implementation of the<br />

project.<br />

This <strong>co</strong>mmittee meets monthly on the first Friday of every month. It is chaired by the sub<strong>co</strong>unty<br />

chief and <strong>co</strong>-chaired by AMREF’s Deputy Country Director. Those involved from<br />

AMREF include the project manager and the project officers (Health, Education, Watsan,<br />

Liveihoods, Community Empowerment, Communications and M&E.)<br />

The sub-<strong>co</strong>unty membership aims to include:<br />

� Assistant Community Development Officer (ACDO)<br />

� Area inspector of schools<br />

� Sub-<strong>co</strong>unty National Agricultural Advisory Services (NAADS) <strong>co</strong>ordinator<br />

� Health assistant<br />

� County water officer<br />

� Representatives of special interest groups (PLWHA, Women, Youth and People with<br />

Disabilities)<br />

In attendance (<strong>co</strong>-opted):<br />

� Local Councilor IIIAMREF Uganda Country Director<br />

� Project presenters – project assistants<br />

KCPP six monthly narrative report - October 2007 to March 2008 35


� Representatives of other partners e.g. NGOs in the Katine area<br />

Responsibilities include:<br />

� Involvement in the operational details of the project, supervision of implementation,<br />

development and review of work plans<br />

� Ensuring equal participation and representation of lower structures<br />

� Addressing <strong>co</strong>mmunity involvement, empowerment and governance at the operational<br />

level<br />

� Participating in evaluation processes<br />

� Preparing technical project reports to be presented to the steering <strong>co</strong>mmittee at the<br />

district level<br />

� Mobilising <strong>co</strong>mmunities and resources in local <strong>co</strong>mmunities<br />

� Identifying risks and re<strong>co</strong>mmend mitigation strategies<br />

� Identifying gaps, priorities and key areas of intervention<br />

� Supporting the project in identification of beneficiaries<br />

� Identifying areas for media <strong>co</strong>verage and engagement<br />

� Mobilising <strong>co</strong>mmunities to engage in local <strong>co</strong>mmunity based documentation through<br />

the use of approaches like <strong>co</strong>mmunity-based management information systems.<br />

DESIRED OUTPUTS:<br />

Reports stipulating:<br />

� Action points and re<strong>co</strong>mmendations<br />

� Overall project progress<br />

� Component specific technical reports<br />

Reporting Guidelines<br />

� Reports will be produced on a monthly basis<br />

� These reports will be in<strong>co</strong>rporated into the general sub-<strong>co</strong>unty report to the district<br />

<strong>PROJECT</strong> STEERING COMMITTEE (DISTRICT LEVEL)<br />

Role: To provide technical guidance and support to the project management <strong>co</strong>mmittee.<br />

This <strong>co</strong>mmittee will meet on a quarterly basis and will be chaired by the district chief<br />

administrative officer. AMREF will <strong>co</strong>-chair and provide the secretariat support for the same.<br />

The chair is the Soroti Chief Administration Officer (who reports to the executive/<strong>co</strong>uncil), the<br />

<strong>co</strong>-chair is AMREF Uganda’s Country Director, while the secretariat includes AMREF (to be<br />

led by the Project Manager).<br />

AMREF Membership:<br />

� Katine project manager<br />

� AMREF in Uganda Deputy Country Director<br />

KCPP six monthly narrative report - October 2007 to March 2008 36


District membership:<br />

� District Education Officer<br />

� District Health Officer<br />

� District Water Officer<br />

� Community Development Officer<br />

� Production <strong>co</strong>ordinator<br />

� Assistant Chief Administrative Officer – 1<br />

� District Information Officer<br />

In attendance (<strong>co</strong>-opted but not mandatory):<br />

� Local Council V Councilor Katine (x2)<br />

� Sub-County Chief<br />

� NGO forum representatives (x2)<br />

� KCPP project officers as and when required as presenters<br />

Responsibilities include:<br />

� Receiving and reviewing project progress reports and provide technical input and<br />

guidance<br />

� Producing minutes and reports to be shared with the <strong>co</strong>untry advisory <strong>co</strong>mmittee<br />

� Enhancing <strong>co</strong>ordination between the project and district plans, progress and policies to<br />

ensure long term sustainability<br />

� Mobilising/leveraging resources from the district in support of the project<br />

� Identifying strategic and policy-related issues for the <strong>co</strong>untry advisory <strong>co</strong>uncil<br />

� Providing a platform for a local voice in development and media debates<br />

Reporting requirements<br />

� This <strong>co</strong>mmittee will meet every first Friday of each quarter. (First meeting was<br />

scheduled for 04 July 08, but held on 14 th July 2008)<br />

� A <strong>co</strong>mprehensive project progress report disseminated to the <strong>co</strong>untry advisory<br />

<strong>co</strong>mmittee, donors, etc. These progress reports are to be produced by a secretariat<br />

provided by AMREF. It is mandatory that these reports include any issues and<br />

re<strong>co</strong>mmendations.<br />

Desired outputs:<br />

� A <strong>co</strong>mprehensive project progress report disseminated to the <strong>co</strong>untry advisory<br />

<strong>co</strong>mmittee, donors, etc. These progress reports are to be produced by a secretariat<br />

provided by AMREF. It is mandatory that these reports include any issues and<br />

re<strong>co</strong>mmendations.<br />

Administration of this <strong>co</strong>mmittee<br />

� Voluntary participation and engagement<br />

KCPP six monthly narrative report - October 2007 to March 2008 37


� Expression of <strong>co</strong>mmitment and ownership of project intervention<br />

� The secretariat meets administrative <strong>co</strong>sts, e.g. meals.<br />

The purpose of the meetings will be guided by;<br />

� The fieldwork of the district steering <strong>co</strong>mmittee, governed by the GoU standing orders<br />

� The functioning of KCPP in <strong>co</strong>mpliance with the central government and Soroti local<br />

government regulations<br />

� Commitment to technical guidance and development support to Katine<br />

� The need for a clearly stipulated <strong>co</strong>mmunity <strong>co</strong>ntribution<br />

<strong>PROJECT</strong> ADVISORY COMMITTEE<br />

This exists at the national/<strong>co</strong>untry level, <strong>co</strong>mprised of the AMREF Uganda <strong>co</strong>untry director (as<br />

chairperson), the AMREF Uganda Deputy Country Director, key <strong>co</strong>ntacts in the line ministries,<br />

as well as representatives of Barclays, PANOS, and FARM-Africa. The role of this <strong>co</strong>mmittee<br />

will be to provide high level partnership management support, monitor the media output at<br />

national level, inform the project on the GoU policies and guidelines as well as monitor and<br />

evaluate the project progress.<br />

At the global level is a governance <strong>co</strong>mmittee that will be <strong>co</strong>mprised of the leaders of all the<br />

partner organisations involved in this project (i.e. AMREF, <strong>Guardian</strong>, Barclays and FARM-<br />

Africa). This <strong>co</strong>mmittee will meet quarterly and will be informed on project progress by the<br />

project advisory <strong>co</strong>mmittee and district steering <strong>co</strong>mmittee.<br />

KCPP six monthly narrative report - October 2007 to March 2008 38

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